Tranlumen endoscope insertion surgery

摘要

An intraluminal endoscope inserting method according to the present invention is a method of forming a first opening in a wall of a first luminal organ while observing optical and ultrasonic images formed by an ultrasonic endoscope inserted into a first luminal organ through a natural opening, forming a second opening in a wall of a desired second luminal organ adjacent to the first luminal organ through an abdominal cavity space from the first opening, leading the ultrasonic endoscope into a second luminal organ from a second opening and performing observation and treatment, and after the treatment and the like, stitching the openings. This makes it possible to insert the endoscope with a skill same as that required for a normal endoscope test and makes it easy to insert the endoscope even into luminal organs irregularly connected to with one another in a body cavity.

主权项

1. An intraluminal endoscope inserting method for inserting an endoscope into a luminal organ of a patient having a stomach divided into a stomach esophagus side and a stomach duodenum side and a small intestine divided into a duodenum side and a large intestine side, the stomach duodenum side being connected to the small intestine at a jejunum, the stomach esophagus side being connected to the small intestine at a position proximal to the jejunum and the small intestine on the duodenum side connected to a portion of the small intestine on the large intestine side, the intraluminal endoscope inserting method comprising:
an endoscope inserting step of inserting an insertion portion of the endoscope including an ultrasonic observation unit into a first object luminal organ, the first object luminal organ being the stomach esophagus side, through a natural opening of the patient; an adjacent organ confirming step of transmitting and receiving ultrasound inside the first object luminal organ and confirming a second object luminal organ, the second object luminal organ being the stomach duodenum side, adjacent to the first object luminal organ; a first opening forming step of forming a first opening in a tube wall of the first object luminal organ after the adjacent organ confirming step; a second opening forming step of forming a second opening in a tube wall of the second object luminal organ after the adjacent organ confirming step; an object organ entering step of causing a distal end of the insertion portion of the endoscope to enter an internal area of the second object luminal organ from the second opening; and an observing and treating step of observing and treating the second object luminal organ with the endoscope.