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Tytuł:
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Nonexposure endolaparoscopic full-thickness resection with simple suturing technique.
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Autorzy:
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Chan Gyoo Kim
Hong Man Yoon
Jong Yeul Lee
Soo-Jeong Cho
Myeong-Cherl Kook
Bang Wool Eom
Keun Won Ryu
Young-Woo Kim
Il Ju Choi
Kim, Chan Gyoo
Yoon, Hong Man
Lee, Jong Yeul
Cho, Soo-Jeong
Kook, Myeong-Cherl
Eom, Bang Wool
Ryu, Keun Won
Kim, Young-Woo
Choi, Il Ju
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Temat:
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ANIMAL experimentation
BIOLOGICAL models
GASTRIC mucosa
GASTROSCOPY
LAPAROSCOPY
STOMACH tumors
SUTURING
SWINE
PRODUCT design
TREATMENT effectiveness
EQUIPMENT & supplies
SURGERY
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Źródło:
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Endoscopy; 2015, Vol. 47 Issue 12, p1171-1174, 4p
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Background and Aim: Current endoscopic full-thickness resection (EFTR) methods are limited by their transmural communication and exposure of tumor to the peritoneum. The aim of this study was to test the feasibility of a new resection technique that does not expose the mucosa to the peritoneum, although it involves an easy and secure suture method, which could be applied in the clinical setting.Methods: The nonexposure endolaparoscopic full-thickness resection with simple suturing technique was performed in four pigs. This new technique includes the steps of laparoscopic seromuscular suturing, which results in inversion of the stomach wall; EFTR of the inverted stomach wall from inside the stomach; and finally, endoscopic mucosal suturing with endoloops and clips.Results: En bloc and complete resections were achieved without adverse events in all pigs. The mean (± standard deviation) operation time was 137.0 ± 28.2 minutes. All pigs survived with no clinical evidence of illness until euthanasia. Gross and microscopic examination of the resection site showed healing without evidence of leakage or infection.Conclusion: The nonexposure endolaparoscopic full-thickness resection with simple suturing technique was feasible in an animal model. [ABSTRACT FROM AUTHOR]
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