지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.11
- 수록면
- 362 - 368 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Natural orifice transluminal endoscopic surgery (NOTES) is a new operation technique that utilizes natural orifices of the patient’s body with the intention to puncture hollow viscera in order to insert an endoscope into a peritoneal cavity for incisionless surgery. The aim of this study was to evaluate the safety and feasibility of endoscopic cecectomy through the rectum in one dog and the vagina in another dog.
Methods: This study was performed in two beagle dogs for rectal and vaginal approaches. A five-milimeter trocar was inserted into the abdominal cavity by the Hasson method and intra-abdominal pressure was maintained at 5 ㎜Hg with CO₂. After pneumoperitoneum was accomplished, the rectum or vagina was incised with a needle knife and a one-channel gastric endoscope was inserted into the abdominal cavity. Counter-traction was performed using a laparoscopic grasper introduced via the 5 ㎜ trocar in the umbilicus. The cecum was dissected from the base by using a needle knife with the aid of laparoscopic counter-traction. The resected cecum was retrieved through the anus or vagina without pouch bag. The incised rectum was closed by using 90-degree endoclips whereas the incised vagina was not repaired.
Results: Cecectomies were successfully performed with both transrectal and transvaginal routes. Both cases had no complication and recovered from surgery uneventfully.
Conclusion: Endoscopic cecectomy with hybrid NOTES are feasible and safe. With the improvement of surgical experiences and further instrumental development, NOTES can be one option for human intestinal surgery.
Methods: This study was performed in two beagle dogs for rectal and vaginal approaches. A five-milimeter trocar was inserted into the abdominal cavity by the Hasson method and intra-abdominal pressure was maintained at 5 ㎜Hg with CO₂. After pneumoperitoneum was accomplished, the rectum or vagina was incised with a needle knife and a one-channel gastric endoscope was inserted into the abdominal cavity. Counter-traction was performed using a laparoscopic grasper introduced via the 5 ㎜ trocar in the umbilicus. The cecum was dissected from the base by using a needle knife with the aid of laparoscopic counter-traction. The resected cecum was retrieved through the anus or vagina without pouch bag. The incised rectum was closed by using 90-degree endoclips whereas the incised vagina was not repaired.
Results: Cecectomies were successfully performed with both transrectal and transvaginal routes. Both cases had no complication and recovered from surgery uneventfully.
Conclusion: Endoscopic cecectomy with hybrid NOTES are feasible and safe. With the improvement of surgical experiences and further instrumental development, NOTES can be one option for human intestinal surgery.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Rattner D / 2006 / ASGE/ SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery. October 2005 / Surg Endosc 20 : 329 ~ 333
2. [학술지(정기간행물)] - Kalloo AN / 2004 / Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity / Gastrointest Endosc 60 : 114 ~ 117
3. [학술지(정기간행물)] - Pai RD / 2006 / Transcolonic endoscopic cholecystectomy: a NOTES survival study in a porcine model (with video) / Gastrointest Endosc 64 : 428 ~ 434
4. [학술지(정기간행물)] - Rao GV / 2008 / NOTES: human experience / Gastrointest Endosc Clin N Am 18 : 361 ~ 370
5. [학술지(정기간행물)] - Bessler M / 2007 / Transvaginal laparoscopically assisted endoscopic cholecystectomy: a hybrid approach to natural orifice surgery / Gastrointest Endosc 66 : 1243 ~ 1245
2. [학술지(정기간행물)] - Kalloo AN / 2004 / Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity / Gastrointest Endosc 60 : 114 ~ 117
3. [학술지(정기간행물)] - Pai RD / 2006 / Transcolonic endoscopic cholecystectomy: a NOTES survival study in a porcine model (with video) / Gastrointest Endosc 64 : 428 ~ 434
4. [학술지(정기간행물)] - Rao GV / 2008 / NOTES: human experience / Gastrointest Endosc Clin N Am 18 : 361 ~ 370
5. [학술지(정기간행물)] - Bessler M / 2007 / Transvaginal laparoscopically assisted endoscopic cholecystectomy: a hybrid approach to natural orifice surgery / Gastrointest Endosc 66 : 1243 ~ 1245
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