| Item type |
[ELS]学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-05-24 |
| タイトル |
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タイトル |
A Novel Approach to Endoscopic Submucosal Dissection Using Bipolar Current Needle Knife for Colorectal Tumors |
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言語 |
en |
| 言語 |
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言語 |
eng |
| キーワード |
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言語 |
en |
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主題 |
endoscopic electrosurgical knife |
| キーワード |
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言語 |
en |
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主題 |
endoscopic submucosal dissection( ESD) |
| キーワード |
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言語 |
en |
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主題 |
colorectal tumors |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 雑誌書誌ID |
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収録物識別子 |
AA00629581 |
| 論文名よみ |
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タイトル |
A Novel Approach to Endoscopic Submucosal Dissection Using Bipolar Current Needle Knife for Colorectal Tumors |
| 著者 |
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) |
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en |
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Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine |
| 著者所属(英) |
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en |
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Sano Hospital, Gastrointestinal Center |
| 著者所属(英) |
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en |
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Sano Hospital, Gastrointestinal Center |
| 著者所属(英) |
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en |
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Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine, Sano Hospital, Gastrointestinal Center |
| 著者所属(英) |
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en |
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Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine, Sano Hospital, Gastrointestinal Center |
| 著者所属(英) |
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en |
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Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine |
| 著者所属(英) |
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en |
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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) |
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en |
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Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine |
| 著者所属(英) |
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en |
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Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine, Maruoka Clinic |
| 著者所属(英) |
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en |
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Department of Surgical and Molecular Pathology, Dokkyo Medical University School of Medicine |
| 記事種別(英) |
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内容記述タイプ |
Other |
|
内容記述 |
Original |
| 抄録(英) |
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内容記述タイプ |
Other |
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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 |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
03855023 |
KJ00008038459.pdf (243.6 kB)
