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KMID : 0882420180930030247
대한내과학회지
2018년 93권 3호 p.247 ~ p.251

조기 위암 치료: 레이저를 이용한 내시경점막하박리술


Treatment of Early Gastric Cancer: Endoscopic Submucosal Dissection with LASER

장진석 ( Jang Jin-Seok ) - 동아대학교 의과대학 내과학교실

Abstract

In 2000, endoscopic resection is very useful treatment modality for early gastric cancer. The Needle Knife (Olympus, Tokyo, Japan) and Insulated Tip Knife (Olympus) are used for endoscopic dissection of gastrointestinal tumors in clinical practice. The depth of penetration and the high power delivered to soft tissue by electrocautery with these needles are not well controlled, and therefore may increase the risk of complications such as intestinal perforation and bleeding lasers 2-μm in wavelength offer efficient tissue cutting with limited thermal damage in biological tissue. Light amplication by the sumulated emission of radiation dissection demonstrated good maneuverability, clean and rapid cutting, and excellent hemostasis. And, now we would like to evaluate the clinical outcomes of the endoscopic submucosal dissection with using laser and capabilities in the future.
KeyWords
내시경 점막하 박리술(ESD), 레이저(LASER), 조기위암
Early gastric cancer, Endoscopic submucosal dissection, LASER
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학술진흥재단(KCI) KoreaMed 대한의학회 회원