慶應義塾大学 · Medicine
Motohiko Kato 교수의 연구실은 소화기내 endoscopic submucosal dissection(ESD) 및 내시경적 절제술의 기술적 도전과제를 해결하고자 전문화된 연구를 수행하고 있습니다. 특히 비암두절제술을 피할 수 있는 소화기 종양, 특히 비암성 소장 신생물(SNADET)과 도파일루스 내피성 종양에 대한 내시경적 치료 전략 개발에 초점을 맞추고 있으며, 복합내시경외과술(Laparoendoscopic surgery)을 통해 정밀한 절제와 합병증 관리의 가능성을 모색하고 있습니다.
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
Nineteen per cent of synchronous cancers were not detected until the initial ESD. The incidence rate of metachronous cancer after ESD was constant. Scheduled endoscopic surveillance showed that almost all recurrent lesions were treatable by endoscopic resection.
ER outcomes for SDETs were generally acceptable. ESD by highly experienced endoscopists might be an option for very large SDETs.
The present study indicated that UEMR could be a feasible endoscopic resection method for SNADET (UMIN000025442).
<b>Background and study aims</b> Duodenal endoscopic submucosal dissection (ESD) is still considered technically challenging; however, few studies have objectively analyzed predictors of the technical difficulty. Therefore, the aim of the current study was to elucidate predictors of the technical difficulty of duodenal ESD. <b>Patients and methods</b> This was a retrospective observational study. From June 2010 to June 2017, a total of 174 consecutive patients with superficial duodenal epithelia
Although superficial non-ampullary duodenal epithelial tumor (SNADET) was previously considered a rare disease, in recent years, the opportunities to detect and treat SNADET are increasing. Considering the high morbidity of pancreatoduodenectomy, endoscopic resection can be a treatment option that preserves the organs and contributes maintain patients' quality of life. Endoscopic mucosal resection (EMR) is a standard treatment for relatively small lesions in gastrointestinal tracts, however, it
Combined laparoendoscopic surgery is a novel surgical method which consists of both endoscopic surgery from inside the gastrointestinal tract and laparoscopic surgery from the outside. We report a case of duodenal GIST, in which combined laparoendoscopic local resection was attempted. The lesion was resected endoscopically using endoscopic submucosal dissection technique under laparoscopic assistance. Laparoscope was used for originating the orientation of the tumor, intra-operative EUS, and mon
