演題詳細

一般口演

一般口演(194) : 鏡視下手術・食道-2

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開催日
2010年04月10日(土)
時 間
15:37 - 16:12
会 場
第8会場(1号館 3階 会議室131+132)
司会
大杉 治司 (大阪市立大学消化器外科)

Minimally Invasive Surgery for Esophageal Disease:current standard to future in U.S.

演題番号 : OP-194-4

北方 敏敬:1 Blair Jobe:1 

1:Univ Pittsburgh Medical Center, USA 

 

Minimally invasive surgery(MIS)for esophageal diseases in U.S. is moving forward to less invasive approach. The most popular MIS for esophagus is laparoscopic Nissen fundoplication for gastroesophageal reflux disease. Recently, we introduced less invasive new technique, transoral incisionless fundoplication(EsophyX). One of reflux-induced complications is Barrett’s esophagus(BE), which is precancerous lesion. Esophagectomy has been a standard option to treat BE with high grade dysplasia. Recently, radiofrequency ablation was reported to be associated with a high rate of complete eradication of BE. We are currently conducting to develop new technique, transoral incisionless esophagectomy, using the extra-cellular matrix, which can prevent esophageal stricture after mucosal resection.

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