期刊
WORLD JOURNAL OF GASTROINTESTINAL SURGERY
卷 13, 期 7, 页码 645-654出版社
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.4240/wjgs.v13.i7.645
关键词
Endoscopic full-thickness resection; Exposed endoscopic full-thickness resection; Full-thickness resection; Natural orifice transluminal endoscopic surgery; Endoscopic surgery; Endoscopic suturing
Endoscopic full-thickness resection (EFTR) without laparoscopic assistance is a minimally invasive technique for treating gastric submucosal tumors originating from the muscularis propria. The recent development of flexible endoscopic suturing tools may enhance the efficacy and safety of EFTR procedures.
Exposed endoscopic full-thickness resection (EFTR) without laparoscopic assistance is a minimally invasive natural orifice transluminal endoscopic surgery technique that is emerging as a promising effective and safe alternative to surgery for the treatment of muscularis propria-originating gastric submucosal tumors. To date, various techniques have been used for the closure of the transmural post-EFTR defect, mainly consisting in clip- and endoloop-assisted closure methods. However, the recent advent of dedicated tools capable of providing full-thickness defect suture could further improve the efficacy and safety of the exposed EFTR procedure. The aim of our review was to evaluate the efficacy and safety of the different closure methods adopted in gastric-exposed EFTR without laparoscopic assistance, also considering the recent advent of flexible endoscopic suturing.
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