Chinese Journal of Digestive Endoscopy | 2019
Clinical value of autologous skin-grafting surgery to prevent esophageal stenosis after complete circular endoscopic submucosal tunnel dissection for early esophageal cancer
Abstract
Objective \nTo assess the efficacy and safety of autologous skin-grafting surgery (ASGS) in the prevention of esophageal stenosis after complete circular endoscopic submucosal tunnel dissection (ESTD) for early esophageal cancer. \n \n \nMethods \nBetween January 2018 and March 2018, five patients with early esophageal cancer underwent complete circular ESTD and ASGS in Chinese PLA General Hospital. The skin-graft survival situation, and occurrence of esophageal stenosis and complications were observed by endoscopy follow-up. \n \n \nResults \nComplete circular ESTD and ASGS were successfully performed in all 5 patients, and no complications including perforation, bleeding, wound infection or stent migration occurred. The mean skin-graft survival rate was 86.0%. Four patients did not experience esophageal stenosis over the mean follow-up of 9.5 months. One patient experienced esophageal stenosis after operation, and underwent endoscopic balloon dilatation.No stenosis occurred in 8 months of follow-up. \n \n \nConclusion \nASGS is a safe and effective method to prevent esophageal stenosis after complete circular ESTD \n \n \nKey words: \nEsophageal stenosis;\xa0Transplantation, autologous;\xa0Efficacy;\xa0Safety;\xa0Early esophageal cancer;\xa0Endoscopic submucosal tunnel dissection