T2结直肠癌癌症内镜切除术的挑战。

IF 3.4 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Gut and Liver Pub Date : 2024-03-15 Epub Date: 2023-10-16 DOI:10.5009/gnl230125

Katsuro Ichimasa, Shin-Ei Kudo, Ker-Kan Tan, Jonathan Wei Jie Lee, Khay Guan Yeoh

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引用次数: 0

摘要

目前对癌症固有肌层（T2）的标准治疗是手术切除结肠和淋巴结清扫。随着新的内窥镜切除技术的出现，如内窥镜全厚切除术或内窥镜肌间剥离术，T2结直肠癌癌症（转移至20%-25%的已切除淋巴结）可能是继粘膜下浸润性（T1）结直肠癌癌症之后的下一个内窥镜手术候选。我们提出了一种新的T2结直肠癌癌症内镜治疗策略，并建议进一步研究以建立其临床实施的肿瘤学和内镜技术安全性证据。

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Challenges in Implementing Endoscopic Resection for T2 Colorectal Cancer.

The current standard treatment for muscularis propria-invasive (T2) colorectal cancer is surgical colectomy with lymph node dissection. With the advent of new endoscopic resection techniques, such as endoscopic full-thickness resection or endoscopic intermuscular dissection, T2 colorectal cancer, with metastasis to 20%-25% of the dissected lymph nodes, may be the next candidate for endoscopic resection following submucosal-invasive (T1) colorectal cancer. We present a novel endoscopic treatment strategy for T2 colorectal cancer and suggest further study to establish evidence on oncologic and endoscopic technical safety for its clinical implementation.

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来源期刊

Gut and Liver 医学-胃肠肝病学

CiteScore

7.50

自引率

8.80%

发文量

119

审稿时长

6-12 weeks

期刊介绍： Gut and Liver is an international journal of gastroenterology, focusing on the gastrointestinal tract, liver, biliary tree, pancreas, motility, and neurogastroenterology. Gut and Liver delivers up-to-date, authoritative papers on both clinical and research-based topics in gastroenterology. The Journal publishes original articles, case reports, brief communications, letters to the editor and invited review articles in the field of gastroenterology. The Journal is operated by internationally renowned editorial boards and designed to provide a global opportunity to promote academic developments in the field of gastroenterology and hepatology. Gut and Liver is jointly owned and operated by 8 affiliated societies in the field of gastroenterology, namely: the Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, the Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Association for the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, the Korean Pancreatobiliary Association, and the Korean Society of Gastrointestinal Cancer.