对于胃肠道疾病中先进内镜切除的专用仪器的作用
Markus Brand1, Karl-Hermann Fuchs1, Joel Troya1
1Interventional and Experimental Endoscopy (InExEn), Department of Internal Medicine II, Gastroenterology, University of Würzburg, 97070 Würzburg, Germany.
Life (Basel, Switzerland)
|November 25, 2023
概括
新的内镜工具增强了先进的内镜切除 (ER),特别是内镜亚粘膜剖析 (ESD). 这些专门的仪器解决了局限性,可能扩大胃肠病变的ER指示.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医疗器械开发 医疗器械开发
背景情况:
- 先进的内镜治疗为胃肠道疾病提供了手术的替代方案.
- 内镜下粘膜切除 (ESD) 是一个关键的先进内镜切除 (ER) 技术.
- 本研究重点是针对专门的ER指示开发的新型内镜仪器.
研究的目的:
- 分析为高级内镜切除 (ER) 开发的专用仪器.
- 确定这些新型内镜工具的当前状态和应用.
- 解决当前内镜手术的局限性,特别是ESD.
主要方法:
- 分析ESD的技术过程和局限性.
- 开发和应用五种新型内镜仪器:内切割器,额外的工作通道系统,外部独立的旁观镜抓取器,3D超管工作站和超视镜抓取器.
- 在干燥实验室,体内实验和临床环境中测试仪器.
主要成果:
- 内分离器可促进精确的抓取和组织分裂.
- 额外的工作通道系统解决了对第二个通道的需求.
- 外部抓手提供强大的引力,3D上管平台可实现双手操作.
- 超范围的抓取器有助于空洞清洁.
结论:
- 专用仪器的开发可以满足先进内镜手术中尚未满足的需求.
- 这些创新可能会扩大胃肠病变内镜切除的范围.
- 新的工具提高了复杂的内镜干预的精度和能力.
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