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
- 학위논문
- 저자정보
- 지도교수
- 宋容男
- 발행연도
- 2013
- 저작권
- 고려대학교 논문은 저작권에 의해 보호받습니다.
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There have been interests in Natural orifice transluminal endoscopic surgery (NOTES) for many surgeons and researchers. NOTES is less invasive and may be economical for patients by reducing hospitalization period. Among many disease, obesity is one of the most common and serious disease in the world because people do not recognize obesity as a disease. However, the incidence of obesity is getting higher and higher, and obesity drives other disease such as high blood pressure, infertility, diabetes, heart disease, sleep apnea, and mortality. Therefore, there have been active studies to replace open surgeries to endoscopic surgeries.
Endocinch, G-prox, and Stomaphy X are the devices for the endoscopic bariatric surgery. These reduce stomach pouch and stoma with their own suture mechanism. They are in human trial and showed the efficacy for weight loss. Even though there still need to be more research to prove the efficacy, it seems to use suture mechanism is more effective because other mechanism such as injections, electrical stimulations, and prostheses have reported ineffective results.
In this study, we developed an endoscopic continuous suturing device working in a single channel. The aim of this study is to evaluate the functionality of the device in in vitro porcine model. The second aim of the study is to assess the feasibility of the device in in vivo porcine model.
Endocinch, G-prox, and Stomaphy X are the devices for the endoscopic bariatric surgery. These reduce stomach pouch and stoma with their own suture mechanism. They are in human trial and showed the efficacy for weight loss. Even though there still need to be more research to prove the efficacy, it seems to use suture mechanism is more effective because other mechanism such as injections, electrical stimulations, and prostheses have reported ineffective results.
In this study, we developed an endoscopic continuous suturing device working in a single channel. The aim of this study is to evaluate the functionality of the device in in vitro porcine model. The second aim of the study is to assess the feasibility of the device in in vivo porcine model.
목차
Table of ContentsAbstract ⅰTable of Contents iiiList of Figure vList of Table vi1장. 서 론 11.1. 연구 배경 및 필요성 11.2. 배경지식 41.2.1. Natural Orifice Transluminal Endoscopic Surgery (NOTES) 41.2.2. 비만 51.2.3. 위 51.2.4. 비만대사수술 (Bariatric Surgery) 82장. 기존 연구 동향 103장. 실 험 123.1. Continuous Suturing Device (CSD) procedure 123.2. 실험 장비 133.2.1. 투 채널 내시경 133.2.2. Continuous Suturing Device(CSD) 143.2.3. 매듭장치 183.2.4. 사이드 석션캡 203.3. 연속 봉합 장비의 원리 223.4. In vitro 실험: 부피 측정 233.5. In vivo 실험: the Feasibility test 254장. 결 과 284.1. In vitro 실험 결과 284.2. In vivo 실험 결과 305장. 고 찰 356장. 참고문헌 38
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