Method for tissue resection
View Patent ↗A tissue resection method of resecting a portion of a hollow organ includes a first step of specifying a position and a range of a resection target tissue from the inside of the hollow organ and showing the position and the range in a visually recognizable manner from the inside of a body cavity; a second step of bringing a bioabsorbable member introduced into the body cavity into contact with the resection target tissue and pressing the resection target tissue, thereby inverting the resection target tissue to the inside of the hollow organ; and a third step of resecting the inverted resection target tissue over all layers from the inside of the hollow organ and performing anastomosis of a hole formed in the hollow organ from the inside of the hollow organ.
1. A tissue resection method of resecting a portion of a hollow organ, comprising:
a first step of specifying a position and a range of a resection target tissue from an inside of the hollow organ via an endoscope being inserted into the hollow organ and showing the position and the range in a visually recognizable manner from an inside of a body cavity;
a second step of inverting the resection target tissue by contacting a bioabsorbable member introduced into the body cavity with the resection target tissue from an outer surface layer of the hollow organ and pressing the resection target tissue toward the inside of the hollow organ; and
a third step of, from the inside of the hollow organ, resecting the inverted resection target tissue over all layers and anastomosing a hole formed in the hollow organ.
2. The tissue resection method according to claim 1 ,
wherein, in the second step, the bioabsorbable member is attached to a tissue pushing tool and is introduced into the body cavity.
3. The tissue resection method according to claim 1 ,
wherein the bioabsorbable member has a linear shape.
4. The tissue resection method according to claim 1 ,
wherein the third step is performed by a medical instrument introduced into the hollow organ.
5. The tissue resection method according to claim 1 ,
wherein the anastomosis of the hole is mechanically performed by thread or staples in the third step.
6. The tissue resection method according to claim 1 ,
wherein the anastomosis of the hole is performed by application of energy in the third step.
7. The tissue resection method according to claim 1 ,
wherein the hollow organ is a large intestine.
8. The tissue resection method according to claim 1 ,
wherein the hollow organ is a stomach.
9. The tissue resection method according to claim 1 ,
wherein the hollow organ is a bladder.
10. The tissue resection method according to claim 1 , wherein:
the bioadsorbable member has a given rigidity capable of maintaining its shape, and
the second step further comprises:
contacting the bioadsorbable member with the outer surface layer of the resection target tissue, thereby deforming the resection target tissue so as to protrude toward the inside of the hollow organ; and
folding the resection target tissue toward an inner cavity side of the hollow organ with a line coming into contact with the bioabsorbable member as a folding line such that the resection target tissue sandwiches the bioabsorbable member.
11. The tissue resection method according to claim 10 , the third step further comprising:
resecting both sides sandwiching the folding line of the inverted resection target tissue over all layers; and
anastomosing the hole.