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In December 2021, Professor Hu Bing's team from the Center for Digestive Endoscopy published a research paper entitled "Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions" in Endoscopy, a top journal in the field of digestive endoscopy, systematically summarizing endoscopic transcecal appendectomy The procedure of Endoscopic transcecal appendectomy (ETA) has demonstrated its safety and efficacy in appendix lesions
.
The corresponding author of this article is Professor Hu Bing, Associate Professor Guo Linjie and Postdoctoral Fellow Ye Liansong are the co-first authors, and West China Hospital of Sichuan University is the first author unit
.
(Picture 1)
With the popularization of colonoscopy screening, more and more colorectal lesions such as polyps, lateral tumors, and submucosal lesions have been discovered.
Early detection and minimally invasive endoscopic treatment can significantly improve the survival rate and quality of life of patients.
.
Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are the most commonly used clinical treatments
Since 2018, Professor Hu Bing's team has been trying to use endoscopic transcecal appendectomy (ETA) to treat appendiceal lesions
.
The ETA technique can be divided into five steps: (1) marking the edge of the intestinal lumen; (2) near-circumferential full-thickness incision in the intestinal lumen; (3) entering the abdominal cavity through the intestinal incision to dissect the appendix and amputating the appendix artery; (4) using a snare-assisted traction Peel off the remaining lesions; ⑤ Double-layer suture technique to firmly close the intestinal wall defect
This study included 13 patients with appendiceal ostium lesions treated with ETA, including 5 with polypoid lesions, 4 with laterally developing tumors, and 4 with submucosal lesions
.
All 13 lesions were completely resected by ETA without postoperative complications such as bleeding, perforation or abdominal abscess
Surgical appendectomy has a history of more than 100 years.
Can endoscopic transcecal appendectomy challenge the tradition? This study preliminarily demonstrated its feasibility, safety and efficacy, and showed the application prospect of endoscopic minimally invasive and scarless surgery, providing a new option for such patients
.
(Figure II)
(Figure 3)
Original link:
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