論文

査読有り 国際誌
2021年7月

Bipolar-current needle-knife with a water jet function (Jet B-knife) shortens the procedure time of endoscopic submucosal dissection for colorectal tumors.

Surgical endoscopy
  • Katsushi Hiramatsu
  • Tatsushi Naito
  • Yu Akazawa
  • Yasushi Saito
  • Takuto Nosaka
  • Kazuto Takahashi
  • Kazuya Ofuji
  • Hidetaka Matsuda
  • Masahiro Ohtani
  • Mitsuru Matsuda
  • Akito Sakai
  • Yasunari Nakamoto
  • 全て表示

35
7
開始ページ
3600
終了ページ
3606
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00464-020-07832-w

BACKGROUND: Endoscopic submucosal dissection (ESD) is a technically difficult and time-consuming procedure for the treatment of large colorectal tumors. In Japan, the ball-tip bipolar-current needle-knife (BB-knife) has been used in ESD as a safe device that minimizes the damage to deeper tissues of colorectal neoplasms. In May 2012, a BB-knife combined with a water jet function (Jet B-knife) was newly developed. METHODS: This retrospective study was aimed at examining the effectiveness and safety of the Jet B-knife. The BB-knife was used in 276 lesions (BB-knife group), while the Jet B-knife was used in 245 lesions (Jet B-knife group). We evaluated tumor characteristics and the results of the ESD procedures, including the size of the resected tumor, histological diagnosis, time required for resection, frequency of using other electrical devices, en bloc resection rate, and incidence rate of associated complications. Then, the data obtained were compared between the two groups. RESULTS: The histological evaluation of the resected tumors revealed that the incidence of cancer was not significantly different between the two groups. The median time required for resection was 103 min (45-255) in the BB-knife group and 51 min (28-210) in the Jet B-knife group. The difference was statistically significant (p < 0.05). Furthermore, the median tumor diameters were 23.1 mm (18-50) and 26.2 mm (20-60) in the BB-knife and Jet B-knife groups, respectively, demonstrating a statistically significant difference (p < 0.05). Multivariate logistic regression analysis revealed that short resection time (p < 0.001) and reduced use of hemostatic devices (p < 0.01) were independent favorable features of Jet B-knife. The en bloc resection rate and the perforation rate were not statistically significant between the two groups. CONCLUSIONS: Use of the Jet B-knife may contribute to the development of a time-saving, cost-effective, and safe procedure for ESD of colorectal tumors.

リンク情報
DOI
https://doi.org/10.1007/s00464-020-07832-w
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32725477
ID情報
  • DOI : 10.1007/s00464-020-07832-w
  • PubMed ID : 32725477

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