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Clinical Values of Dental Floss Traction Assistance in Endoscopic Full-Thickness Resection for Submucosal Tumors Originating from the Muscularis Propria Layer in the Gastric Fundus.

Clinical Values of Dental Floss Traction Assistance in Endoscopic Full-Thickness Resection for Submucosal Tumors Originating from the Muscularis Propria Layer in the Gastric Fundus.

Authors :
Shi, Qiang
Li, Bing
Qi, Zhi-Peng
Yao, Li-Qing
Xu, Mei-Dong
Cai, Shi-Lun
Sun, Di
Zhou, Ping-Hong
Zhong, Yun-Shi
Source :
Journal of Laparoendoscopic & Advanced Surgical Techniques. Oct2018, Vol. 28 Issue 10, p1261-1265. 5p. 1 Color Photograph.
Publication Year :
2018

Abstract

<bold>Background: </bold>Endoscopic full-thickness resection (EFTR) derived from endoscopic submucosal dissection has gradually been accepted and even promoted for the treatment of submucosal tumors (SMTs) originating from the muscularis propria (MP) layer. However, there are some difficulties when EFTR is used to treat MP lesions in the gastric fundus. This study intends to explore whether EFTR can be made simpler, safer, and more effective with the traction assistance of dental floss.<bold>Methods: </bold>The clinical data of patients (trial group) with lesions in the MP layer in the gastric fundus undergoing EFTR with traction assistance of dental floss at Zhongshan Hospital, in 2016, were reviewed retrospectively. The control group was matched with the trial group according to tumor size. The differences in tumor resection time, patient hospitalization time, and complication rate were evaluated.<bold>Results: </bold>There was no significant difference in the average age of the two groups, each of which comprised 24 cases (58.7 ± 11.8 years versus 56.6 ± 7.9 years, t = 0.663, P = .511). However, there was a statistically significant difference in the operative time between the two groups (10.8 ± 2.8 minutes versus 19.0 ± 4.7 minutes, t = 7.298, P < .05). There was no statistically significant difference in the length of the postoperative hospital stay (3.2 ± 0.5 days versus 3.2 ± 0.5 days, t = 0.291, P = .772). In the trial group, there were 19 cases of gastrointestinal stromal tumors (group 1) and 5 cases of leiomyoma. The control group had similar results. Neither group experienced postoperative delayed bleeding, perforation, or other complications.<bold>Conclusions: </bold>When EFTR is used to treat SMTs originating from the MP in the gastric fundus, dental floss traction assistance can relieve the tumor boundary to simplify the surgical procedure and save the operation time. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10926429
Volume :
28
Issue :
10
Database :
Academic Search Index
Journal :
Journal of Laparoendoscopic & Advanced Surgical Techniques
Publication Type :
Academic Journal
Accession number :
132340243
Full Text :
https://doi.org/10.1089/lap.2018.0030