内視鏡下縫合における針操作法

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Updated: Jan 13, 2026

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Tomotaka Hemmi^1,2,3, Kazuhiro Omura⁴, Kazuhiro Nomura^2,5

¹Department of Otolaryngology, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Miyagi, Japan.

The Laryngoscope

|January 7, 2026

Abstract:

This study describes practical needle handling techniques for endonasal endoscopic surgery, focusing on controlled suturing movements adapted to incision orientation and anatomical constraints. Emphasis is placed on single-motion needle advancement, proper reorientation, and precise force application, particularly for skull base suturing where tactile feedback is limited. These techniques enable reliable and efficient closure in endoscopic surgery without the need for specialized instruments.

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前頭蓋底内視鏡下手術鼻腔縫合創傷閉鎖

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