keyword
https://read.qxmd.com/read/38541808/multidisciplinary-management-of-cutaneous-squamous-cell-carcinoma-of-the-scalp-an-algorithm-for-reconstruction-and-treatment
#1
JOURNAL ARTICLE
Manuela Rodio, Matilde Tettamanzi, Emilio Trignano, Silvia Rampazzo, Pietro Luciano Serra, Federica Grieco, Riccardo Boccaletti, Filippo Veneziani Santonio, Giovanni Maria Fadda, Fabrizio Sanna, Dalila Di Mario, Corrado Rubino
Background : Scalp-associated cutaneous squamous cell carcinoma (cSCC) presents formidable treatment challenges, especially when it leads to full-thickness defects involving bone. Aggressive or recurring cases often demand a multidisciplinary approach. Leveraging our surgical experience and a literature review, we introduce a therapeutic algorithm to guide the selection of reconstruction methods, particularly for locally advanced lesions, furthermore showing the synergy between surgery and other therapies for comprehensive, multidisciplinary disease management...
March 10, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38535016/robotic-platforms-for-therapeutic-flexible-endoscopy-a-literature-review
#2
REVIEW
Naoya Tada, Kazuki Sumiyama
Flexible endoscopy, initially developed for diagnosis and tissue sampling, has been adapted for therapeutic interventions, leading to the emergence of natural orifice transluminal endoscopic surgery (NOTES) in the 2000s. The need for a triangulation function to enhance the intuitiveness and safety of NOTES has prompted the development of dual-arm, flexible endoscopic robotic platforms. Although the global interest in NOTES has decreased in the last decade, no-scar surgery concepts are still being applied to other complex endoluminal interventions, such as endoscopic submucosal dissection (ESD) and endoscopic full-thickness resection (EFTR), with ongoing research and development...
March 11, 2024: Diagnostics
https://read.qxmd.com/read/38532592/-application-value-of-laparoscopic-double-stapler-firings-and-double-stapling-technique-combined-with-rectal-eversion-and-total-extra-abdominal-resection-in-the-sphincter-preserving-resection-of-low-rectal-cancer
#3
JOURNAL ARTICLE
H Liang, K Q Wu, Q W Fan, W Zheng, H Zhang, J W Bai, J M Li, J Q Chen, C Zhang
Objectives: To investigate the application value of laparoscopic double stapler firings and double stapling technique combined with rectal eversion and total extra-abdominal resection (LDER) in the anal preservation treatment of low rectal cancer. Methods: Inclusion criteria: (1) age was 18-70; (2) the distance of the lower tumor edge from the anal verge was 4-5 cm; (3) primary tumor with a diameter ≤3 cm; (4) preoperative staging of T1~2N1~2M0; (5) "difficult pelvis", defined as ischial tuberosity diameter<10 cm or body mass index>25 kg/m2 ; (6) patients with strong intention for sphincter preservation; (7) no preoperative treatment (e...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38531418/correction-a-rare-case-of-endoscopic-full-thickness-resection-of-a-laterally-spreading-tumor-at-the-anastomotic-site-of-appendectomy
#4
JOURNAL ARTICLE
Yinong Zhu, Wei Liu, Bing Hu
No abstract text is available yet for this article.
December 2024: Endoscopy
https://read.qxmd.com/read/38522881/curative-criteria-for-endoscopic-treatment-of-colorectal-cancer
#5
REVIEW
Lucille Quénéhervé, Mathieu Pioche, Jérémie Jacques
As endoscopic treatment enables en bloc resection of T1 colorectal cancers, the risk of recurrence, often assimilated to the risk of lymph node metastases, must be assessed in order to offer patients an additional treatment if this risk is deemed significant. The curative criteria currently used by most guidelines are depth of invasion <1 mm, well or moderately differentiated tumour, absence of lympho-vascular invasion, absence of significant budding and tumour-free resection margins. However, these factors must be assessed by qualified pathologists, as they are difficult to evaluate...
February 2024: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/38492815/the-snare-based-pre-traction-method-facilitating-endoscopic-full-thickness-resection-of-a-bidirectional-prominent-dumbbell-shaped-gastrointestinal-stromal-tumor-in-gastric-fundus
#6
JOURNAL ARTICLE
Fu-Qiang Liu, Xiang-Rong Zhou, Wen-Juan Ding, Zhi-Qiang Du, Wei-Hui Liu
No abstract text is available yet for this article.
March 14, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38485164/a-modified-endoscopic-full-thickness-resection-technique-double-traction-assisted-resection
#7
JOURNAL ARTICLE
Yanjun Song, Xin Sun, Chang Ge, Ruyuan Li
No abstract text is available yet for this article.
December 2024: Endoscopy
https://read.qxmd.com/read/38482471/endoscopic-full-thickness-resection-using-double-endoscope-assisted-snare-traction-for-a-large-exophytic-gastric-subepithelial-lesion
#8
JOURNAL ARTICLE
Ding-Ek Toh, Chin-Yuan Yii, Ping-Jen Hu, Bo-Jung Chen, Ming-Yao Chen, Chu-Kuang Chou, Chung-Ying Lee
Video 1Endoscopic full-thickness resection using double endoscope-assisted snare traction facilitates precise resection of a large exophytic gastric subepithelial lesion.
March 2024: VideoGIE
https://read.qxmd.com/read/38482469/submucosal-tunneling-endoscopic-full-thickness-resection-for-management-of-a-rare-case-of-esophageal-gi-stromal-tumor
#9
JOURNAL ARTICLE
Chukwunonso Ezeani, Samuel O Igbinedion, Erik A Holzwanger, Sultan Mahmood, Michael Kent, Mandeep S Sawhney, Douglas K Pleskow, Tyler M Berzin, Moamen Gabr
Video 1The mass was identified at the upper- to mid-esophagus, 25 cm from the central incisors. No varices were seen on further examination of the esophagus. A 4-mm injector force needle was used to create a large submucosal injection using BlueBoost lifting agent proximal to the mass. A longitudinal mucosal incision was then made using the hybrid T-type electrocautery knife, 20 cm from the central incisors.The cutting current was the preset Endocut Q mode, and the coagulation setting was spray coag mode, effect 2 and 40 W...
March 2024: VideoGIE
https://read.qxmd.com/read/38473395/advanced-diagnostic-and-therapeutic-endoscopy-for-early-gastric-cancer
#10
REVIEW
Mitsuhiro Fujishiro
Endoscopy is mandatory to detect early gastric cancer (EGC). When considering the cost-effectiveness of the endoscopic screening of EGC, risk stratification by combining serum pepsinogen values and anti- H. pylori IgG antibody values is very promising. After the detection of suspicious lesions of EGC, a detailed observation using magnifying endoscopy with band-limited light is necessary, which reveals an irregular microsurface and/or an irregular microvascular pattern with demarcation lines in the case of cancerous lesions...
March 3, 2024: Cancers
https://read.qxmd.com/read/38472530/endoscopic-resection-and-laparoscopic-lymph-node-dissection-for-early-gastric-cancer-beyond-conventional-endoscopic-treatment-indications-a-10-year-outcome-study
#11
JOURNAL ARTICLE
Ah Young Lee, Yong Jin Kim, Sungwoo Cho, Tae Hee Lee, Jun-Young Seo, Seong Hwan Kim, Joo Young Cho
BACKGROUND: Endoscopic full-thickness gastric resection (EFTGR) with laparoscopic regional lymph node dissection (LLND) and endoscopic submucosal dissection (ESD) with LLND have been investigated as treatment options for early gastric cancer beyond the absolute indications for ESD. However, comparative studies on the long-term outcomes of these procedures are lacking. This study aimed to analyze and compare the 10-year outcomes of both procedures in a real clinical setting. METHODS: Between January 2009 and December 2013, 28 and 37 patients diagnosed with EGC beyond the absolute indications for ESD were treated with EFTGR with LLND and ESD with LLND, respectively...
March 12, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38469831/preserved-mucosa-unroofing-facilitated-closure-of-a-large-gastric-defect-after-endoscopic-full-thickness-resection
#12
JOURNAL ARTICLE
Kaisheng Zhang, Xue Xiao, Xianfei Zhong, Yu Tang
A 58-year-old woman was found to have a submucosal bulging lesion in the anterior wall of the gastric fundus during a screening esophagogastroscopy. Endosonographic evaluation revealed it to be a 3.1×2.5cm, hypoechoic mass originating from muscularis propria (MP). Endoscopic full-thickness resection (EFR) was attempted. After submucosal injection, a four-fifth circumferential mucosal incision was made around the lesion. Submucosal dissection was performed to unroof the overlying mucosa, which was preserved via the remaining one-fifth circumferential mucosal edge...
March 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38463350/postoperative-encapsulated-hemoperitoneum-in-a-patient-with-gastric-stromal-tumor-treated-by-exposed-endoscopic-full-thickness-resection-a-case-report
#13
Hui-Fei Lu, Jing-Jing Li, De-Bin Zhu, Li-Qi Mao, Li-Fen Xu, Jing Yu, Lin-Hua Yao
BACKGROUND: Gastric stromal tumors, originating from mesenchymal tissues, are one of the most common tumors of the digestive tract. For stromal tumors originating from the muscularis propria, compared with conventional endoscopic submucosal dissection (ESD), endoscopic full-thickness resection (EFTR) can remove deep lesions and digestive tract wall tumors completely. However, this technique has major limitations such as perforation, postoperative bleeding, and post-polypectomy syndrome...
February 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38458241/removal-of-an-embedded-gastric-fishbone-by-traction-assisted-endoscopic-full-thickness-resection
#14
JOURNAL ARTICLE
Shuzhen Chen, Songsong Ying, Cailian Xian, Yongqiang Li, Wenyan Jiang
No abstract text is available yet for this article.
December 2024: Endoscopy
https://read.qxmd.com/read/38458239/multiple-snares-assisted-endoscopic-full-thickness-resection-of-a-giant-submucosal-tumor-at-the-esophagogastric-junction
#15
JOURNAL ARTICLE
Jiyu Zhang, Miao Shi, Dan Liu, Lixia Zhao, Bingrong Liu
No abstract text is available yet for this article.
December 2024: Endoscopy
https://read.qxmd.com/read/38455132/endoscopic-resection-for-calcifying-fibrous-tumors-of-the-gastrointestinal-tract
#16
JOURNAL ARTICLE
Zi-Han Geng, Yan Zhu, Pei-Yao Fu, Yi-Fan Qu, Shi-Yao Chen, Yun-Shi Zhong, Yi-Qun Zhang, Wei-Feng Chen, Wen-Zheng Qin, Jian-Wei Hu, Ming-Yan Cai, Li-Qing Yao, Quan-Lin Li, Ping-Hong Zhou
BACKGROUND: Calcifying fibrous tumors (CFTs) are rare mesenchymal lesions that can occur in various sites throughout the body, including the tubular gastrointestinal (GI) tract. AIM: To analyze the clinical findings of 36 patients with GI tract CFTs to provide guidance for diagnosis and treatment. METHODS: This retrospective study included 36 patients diagnosed with CFTs of the GI tract. We collected demographic and clinical information and conducted regular follow-ups to assess for local recurrence...
February 24, 2024: World Journal of Clinical Oncology
https://read.qxmd.com/read/38450593/clinical-course-of-small-gastric-subepithelial-lesion-less-than-20%C3%A2-mm-diagnosed-by-endoscopic-ultrasound-guided-fine-needle-aspiration
#17
JOURNAL ARTICLE
Ryosuke Kobayashi, Kingo Hirasawa, Yuichiro Ozeki, Atsushi Sawada, Masafumi Nishio, Chiko Sato, Haruo Miwa, Takashi Kaneko, Kazuya Sugimori, Shin Maeda
BACKGROUND AND AIM: Gastrointestinal stromal tumors (GISTs) are treated as malignant gastric subepithelial lesions (SELs), and resection is recommended. However, small gastric SELs < 20 mm with no malignant features are monitored without histopathological examination, and the frequency of malignancy is unknown. This study aimed to clarify the clinicopathological findings and clinical course of gastric SELs < 20 mm measured by endoscopic ultrasound (EUS). METHODS: This retrospective cohort study included consecutive patients with small gastric SELs < 20 mm diagnosed using EUS at a tertiary referral center between 2009 and 2021...
March 7, 2024: Journal of Gastroenterology and Hepatology
https://read.qxmd.com/read/38443502/da-vinci-robot-assisted-endoscopic-full-thickness-gastric-resection-with-regional-lymph-node-dissection-using-a-3d-near-infrared-video-system-a-single-center-5-year-clinical-outcome
#18
JOURNAL ARTICLE
Ah Young Lee, Min Chan Kim, Sungwoo Cho, In Kyung Yoo, Yoo Min Kim, Tae Hee Lee, Jun-Young Seo, Seong Hwan Kim, Joo Young Cho
BACKGROUND: Endoscopic full-thickness gastric resection (EFTGR) with regional lymph node dissection (LND) has been used for early gastric cancer (EGC) exceeding the indications for endoscopic submucosal dissection (ESD). The extent of the dissected lymph nodes is crucial. A 3D near-infrared (NIR) video robot system significantly enhances visualization of the lymphatic system. However, this system has not been used in EFTGR with LND. Thus, this study assessed the benefits of the 3D NIR video robot system in a clinical setting...
March 5, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38442963/drain-site-recurrence-of-an-ileocaecal-valve-adenocarcinoma
#19
JOURNAL ARTICLE
Vikita Kowlessar, Stephen O'Brien, Wael Shabo, Sherif El-Masry
Drain-site recurrence following colorectal cancer resection is a rare event and is described in few case reports. The majority of these reports are following minimally invasive surgery. This report describes a case of an isolated drain-site recurrence of primary colorectal cancer in a male patient in his 50s. He previously underwent an open right hemicolectomy and segmental small bowel resection for an obstructing ileocaecal valve adenocarcinoma. This was followed by adjuvant chemotherapy. Two years into surveillance, a redo ileocolic resection was performed for an anastomotic recurrence...
March 5, 2024: BMJ Case Reports
https://read.qxmd.com/read/38442883/-endoscopic-resection-techniques-for-precancerous-and-early-cancerous-lesions-in-the-rectum
#20
JOURNAL ARTICLE
Jürgen Hochberger, Martin Loss, Elena Kruse
Today, endoscopy plays a decisive role not only in the detection of colorectal adenomas and carcinomas, but also in the treatment of precancerous lesions, in particular flat adenomas and early carcinomas. In recent years, endoscopic submucosal dissection (ESD) has become increasingly important alongside classic polypectomy and mucosal resection after saline injection using a snare (EMR). Using ESD the lesion is marked, injected submucosally using viscous substances and the mucosa incised and tunneled with a transparent cap and a fine diathermy knife...
February 2024: Zentralblatt Für Chirurgie
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