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SURGERY SYSTEM FOR ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) AND SURGERY METHOD

机译:内镜下粘膜下剥离术(ESD)的手术系统及手术方法

摘要

Provided is a surgery system and a surgery method for ESD excellent in operability, safety and reliability of surgery with reduction of time spent in surgery and surgical invasion.  The surgery system for ESD includes magnetic anchors (20, 20’, 20’’, 22A, 22B) composed of an engaging member (21) engaged with a lesion region (T2a) of the inner surface of a human body tract (T) and small-diameter magnetic members (22, 22’, 22’’, 22A, 22B) connected with one another, a magnetic flux radiating means (10, 10a, 10b) mounted in the end (41) of the endoscope to be inserted into the vicinity of the legion region of the human body tract and having hermetically-sealed magnetism producing elements (15, 15A, 15B, 16) to give electromagnetic repelling forces to the magnetic anchors, and a magnetic flux control means (70) provided to the outside of the human body for controlling from the outside the distribution of the magnetic flux radiated from the magnetic flux radiating means.  The magnetic flux control means (70) controls, from the outside, the distribution of the magnetic flux radiated from the magnetic flux radiating means so as to give electromagnetic repelling forces to the magnetic anchors, and the lesion region engaged with the engaging member is pulled in the direction of removal from the muscle layer (T1) of the human body tract.
机译:提供了一种用于外科手术的ESD的外科手术系统和外科手术方法,其在外科手术的可操作性,安全性和可靠性方面极好,并且减少了花费在外科手术和外科手术侵入上的时间。用于ESD的手术系统包括电磁锚(20、20',20'',22A,22B),该电磁锚由与人体管道(T)的内表面的病变区域(T2a)接合的接合构件(21)构成。相互连接的小直径磁性部件(22、22',22'',22A,22B),安装在内窥镜的端部(41)上的磁通量放射装置(10、10a,10b)插入。进入人体的军团区域附近,并具有密封的磁性产生元件(15、15A,15B,16),以向电磁锚施加电磁排斥力;以及磁通量控制装置(70),用于人体外部用于从外部控制从磁通辐射装置辐射的磁通的分布。磁通量控制单元(70)从外部控制从磁通量辐射单元发出的磁通量的分布,以对电磁锚施加电磁排斥力,并且牵拉与接合构件接合的病变区域。从人体管道的肌肉层(T1)移开的方向。

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