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A Novel Approach to Endoscopic Submucosal Dissection Using Bipolar Current Needle Knife for Colorectal Tumors
https://dmu.repo.nii.ac.jp/records/1015
https://dmu.repo.nii.ac.jp/records/10157f40dc26-e0cd-443f-b1f1-07e901abe11d
名前 / ファイル | ライセンス | アクション |
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KJ00008038459.pdf (243.6 kB)
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Item type | [ELS]学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-05-24 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A Novel Approach to Endoscopic Submucosal Dissection Using Bipolar Current Needle Knife for Colorectal Tumors | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題 | endoscopic electrosurgical knife | |||||
キーワード | ||||||
言語 | en | |||||
主題 | endoscopic submucosal dissection( ESD) | |||||
キーワード | ||||||
言語 | en | |||||
主題 | colorectal tumors | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
雑誌書誌ID | ||||||
収録物識別子 | AA00629581 | |||||
論文名よみ | ||||||
タイトル | A Novel Approach to Endoscopic Submucosal Dissection Using Bipolar Current Needle Knife for Colorectal Tumors | |||||
著者 |
Ichikawa, Kazuhito
× Ichikawa, Kazuhito× Sano, Wataru× Sano, Yasushi× Iwatake, Mineo× Ikumoto, Taro× Ikematsu, Hiroaki× Otake, Yosuke× Fujimoti, Yukari× Maruoka, Takashi× Fujimori, Takahiro |
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著者所属(英) | ||||||
en | ||||||
Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Sano Hospital, Gastrointestinal Center | ||||||
著者所属(英) | ||||||
en | ||||||
Sano Hospital, Gastrointestinal Center | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine, Sano Hospital, Gastrointestinal Center | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine, Sano Hospital, Gastrointestinal Center | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine, Division of Digestive Endoscopy and Gastrointestinal Oncology, National Cancer Center Hospital East | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine, Maruoka Clinic | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine | ||||||
記事種別(英) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Original | |||||
抄録(英) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Objective: To completely and safely remove a large colorectal lesion in a single fragment, we have developed an endoscopic electrosurgical knife( B-Knife) for a more effective bipolar cutting adevelopedannd coagulation system.The aim of this study was to evaluate the effectiveness and safety of the B-Knife in patients with large colorectal tumors.Methods:Endoscopic submucosal dissection (ESD) using the B-Knife was performed initially in 3 patients with large colorectal tumors in a pilot study. Subsequently, we examined the clinical outcomes of ESDusing the B-Knife in 25 patients with colorectal tumors.Results:During initial clinical use of the B-Knife, en bloc resection was achieved in all 3 cases, and themean operating time was 43 minutes. All margins of resected material were histologically free of neoplasia.There were no cases of delayed bleeding or perforation. In a series of 25 ESD cases, which consisted of 8adenomas, 15 intramucosal carcinomas, one slightly submucosal invasive carcinoma, and one massive submucosalinvasive carcinoma, the en bloc resection rate was 84% . The mean operation time was 91.6 minutes and the mean size of resected specimens was 36.4 mm (range:19-80 mm). Perforations occurred in one( 4%) case, but delayed bleeding did not occur in any of the cases. Additional surgery was required for2 cases( 8%).Conclusions:ESD using the B-Knife is reliable and safe for the complete resection of select large flat lesions in the colorectum. | |||||
書誌情報 |
Dokkyo journal of medical sciences 巻 39, 号 2, p. 99-106, 発行日 2012-07-25 |
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ISSN | ||||||
収録物識別子 | 03855023 |