抄録
Endoscopic submucosal dissection (ESD) is accepted as minimally invasive therapy for early stage digestive tract tumors. It has allowed the achievement of histologically curative en-bloc resection of early stage digestive tract tumors regardless of size, including the resection of previously non-resectable tumors. Although numerous electrosurgical knives have been developed for ESD, technical difficulties and high complication rates (bleeding and perforation) have limited their use worldwide. Furthermore, conventional ESD usually needs several devices for each session. We developed the Clutch Cutter® (CC), which can grasp and incise the targeted tissue using electrosurgical current, to resolve such ESD-related problems. The ESD procedure using the CC is as follows: after marking using the CC and the injection of a solution into the submucosa, the lesion is separated from the surrounding normal mucosa by complete incision around the lesion using the CC. A piece of submucosal tissue is grasped and cut with the CC using electrosurgical current to achieve submucosal exfoliation. Intraoperative bleeding is also treated by the CC. Reported clinical studies showed that ESD using the CC is a safe, simple, easy-to-learn, technically efficient (en-bloc resection rate 100%), and a single-device method for the dissection of early stage digestive tract tumors. This new approach is promising to become the worldwide method of choice for early stage digestive tract tumors because it is technically simple and safe to perform.
| 元の言語 | 英語 |
|---|---|
| ページ（範囲） | 80-84 |
| ページ数 | 5 |
| ジャーナル | Digestion |
| 巻 | 85 |
| 発行部数 | 2 |
| DOI | |
| 出版物ステータス | 出版済み - 1 1 2012 |
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All Science Journal Classification (ASJC) codes
- Gastroenterology
これを引用
A new approach : Endoscopic submucosal dissection using the clutch cutter® for early stage digestive tract tumors. / Akahoshi, Kazuya; Akahane, Hidefumi; Motomura, Yasuaki; Kubokawa, Masaru; Itaba, Syouichi; Komori, Keishi; Nakama, Naotaka; Oya, Masafumi; Nakamura, Kazuhiko.
：: Digestion, 巻 85, 番号 2, 01.01.2012, p. 80-84.研究成果: ジャーナルへの寄稿 › 記事
}
TY - JOUR
T1 - A new approach
T2 - Endoscopic submucosal dissection using the clutch cutter® for early stage digestive tract tumors
AU - Akahoshi, Kazuya
AU - Akahane, Hidefumi
AU - Motomura, Yasuaki
AU - Kubokawa, Masaru
AU - Itaba, Syouichi
AU - Komori, Keishi
AU - Nakama, Naotaka
AU - Oya, Masafumi
AU - Nakamura, Kazuhiko
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Endoscopic submucosal dissection (ESD) is accepted as minimally invasive therapy for early stage digestive tract tumors. It has allowed the achievement of histologically curative en-bloc resection of early stage digestive tract tumors regardless of size, including the resection of previously non-resectable tumors. Although numerous electrosurgical knives have been developed for ESD, technical difficulties and high complication rates (bleeding and perforation) have limited their use worldwide. Furthermore, conventional ESD usually needs several devices for each session. We developed the Clutch Cutter® (CC), which can grasp and incise the targeted tissue using electrosurgical current, to resolve such ESD-related problems. The ESD procedure using the CC is as follows: after marking using the CC and the injection of a solution into the submucosa, the lesion is separated from the surrounding normal mucosa by complete incision around the lesion using the CC. A piece of submucosal tissue is grasped and cut with the CC using electrosurgical current to achieve submucosal exfoliation. Intraoperative bleeding is also treated by the CC. Reported clinical studies showed that ESD using the CC is a safe, simple, easy-to-learn, technically efficient (en-bloc resection rate 100%), and a single-device method for the dissection of early stage digestive tract tumors. This new approach is promising to become the worldwide method of choice for early stage digestive tract tumors because it is technically simple and safe to perform.
AB - Endoscopic submucosal dissection (ESD) is accepted as minimally invasive therapy for early stage digestive tract tumors. It has allowed the achievement of histologically curative en-bloc resection of early stage digestive tract tumors regardless of size, including the resection of previously non-resectable tumors. Although numerous electrosurgical knives have been developed for ESD, technical difficulties and high complication rates (bleeding and perforation) have limited their use worldwide. Furthermore, conventional ESD usually needs several devices for each session. We developed the Clutch Cutter® (CC), which can grasp and incise the targeted tissue using electrosurgical current, to resolve such ESD-related problems. The ESD procedure using the CC is as follows: after marking using the CC and the injection of a solution into the submucosa, the lesion is separated from the surrounding normal mucosa by complete incision around the lesion using the CC. A piece of submucosal tissue is grasped and cut with the CC using electrosurgical current to achieve submucosal exfoliation. Intraoperative bleeding is also treated by the CC. Reported clinical studies showed that ESD using the CC is a safe, simple, easy-to-learn, technically efficient (en-bloc resection rate 100%), and a single-device method for the dissection of early stage digestive tract tumors. This new approach is promising to become the worldwide method of choice for early stage digestive tract tumors because it is technically simple and safe to perform.
UR - http://www.scopus.com/inward/record.url?scp=84856167101&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84856167101&partnerID=8YFLogxK
U2 - 10.1159/000334647
DO - 10.1159/000334647
M3 - Article
C2 - 22269283
AN - SCOPUS:84856167101
VL - 85
SP - 80
EP - 84
JO - Digestion
JF - Digestion
SN - 0012-2823
IS - 2
ER -