Isisombululo esiphazamisayo se-endoscopy yonyango ekuxilongweni kunye nokunyangwa kwezifo zesisu

I-1, Ukuphumelela okuphazamisayo kwintsimi yokuxilongwa

1. Wireless Capsule Endoscopy (WCE)

Ukuphazamisa: Sombulula ngokupheleleyo "indawo eyimfama" yovavanyo lwamathumbu amancinci kwaye ubeke endaweni yohlobo lokutyhala olubuhlungu lwamathumbu amancinci.

Uphuculo lobuchwephesha:

I-AI incedise ukuxilongwa: njenge-Given Imaging's PillCam SB3, exhotyiswe nge-adaptive frame rate technology, i-AI iphawula ngokuzenzekelayo amanqaku ophayo / izilonda (uvakalelo> 90%).

I-Magnetic controlled capsule gastroscopy (efana ne-NaviCam esuka kwi-Anhan Technology): ulawulo oluchanekileyo lokujikeleza kwe-capsule nge-magnetic field yangaphandle yenza uvavanyo olubanzi lwesisu, kwaye ukuchaneka kokuhlolwa kwangaphambili komhlaza wesisu kuthelekiswa ne-gastroscopy yendabuko (> 92%).

I-capsule ye-Biopsy (inqanaba lovavanyo): njenge-capsule ye-micro clamp ephuhliswe liqela lophando laseMzantsi Korea, elinokulawulwa kude kwisampuli.

2. Intelligent staining iteknoloji endoscopic

Narrowband imaging (NBI):

Umgaqo: I-415nm / 540nm ukukhanya kwe-spectrum emxinwa kwandisa i-mucosal vascular difference.

Isiphumo esiphazamisayo: Izinga lokufumanisa umhlaza wesisu sokuqala liye landa ukusuka kwi-45% kwi-endoscopy yokukhanya okumhlophe okuqhelekileyo ukuya kwi-89% (ngokomgangatho we-JESDS waseJapan).

Umfanekiso wonxulumano (LCI):

I-advanteji: I-algorithm ye-patent ye-Fuji ine-30% yezinga eliphezulu lokuqatshelwa kwe-gastritis engaphezulu kunye ne-intestinal metaplasia xa kuthelekiswa ne-NBI.

3. I-Confocal Laser Endoscopy (pCLE)

Ubugqwesileyo bobugcisa: I-diameter ye-probe yi-1.4mm kuphela (efana nenkqubo ye-Cellvizio), ukuphumeza uqwalaselo lwezinga leseli lexesha langempela ekukhuliseni amaxesha angama-1000.

Ixabiso lonyango:

Ukuchongwa kwangoko kwe-Barrett's esophageal dysplasia ukunqanda i-biopsies ephindaphindiweyo.

Ixabiso elibi lokuxela kwangaphambili ekubekeni iliso kwi-ulcerative colitis carcinogenesis yi-98%.

2, izisombululo Revolutionary kwinkalo yonyango

1. I-Endoscopic mucosal dissection (ESD)

Impumelelo yetekhnoloji:

I-bipolar electric knife (njenge-FlushKnife BT): ukufakwa kwe-saline kunciphisa umngcipheko wokubhoboza.

I-CO ₂ i-laser incedise: i-vaporization echanekileyo ye-submucosal layer, i-volume volume <5ml.

Idatha yonyango:

Izinga lokunyanga umhlaza wesisu sakwangoko lingaphezulu kwama-95%, kwaye izinga lokusinda leminyaka emi-5 lithelekiswa notyando lwesintu (ngaphezu kwama-90%).

Uphononongo lwe-DDW e-United States lubonisa ukuba ireyithi yokuqhawula i-colon lateral development tumors (LST) inkulu kune-3cm yi-91%.

2. Utyando lwe-Endoscopic ngokusebenzisa umngxuma wendalo (AMAQAKU)

Ummeli wobugcisa botyando:

Transgastric cholecystectomy: Olympus TriPort multi-channel endoscope isetyenziswa, kwaye ukutya kusetyenziswa iiyure 24 emva kotyando.

Transrectal appendectomy: Iqela laseMzantsi Korea libika imeko yokuqala eyimpumelelo yehlabathi ngo-2023.

Isixhobo esingundoqo: Umaleko opheleleyo we-clamp evaliweyo (efana ne-OTSC) ®) Sombulula owona mngeni mkhulu WAMANQAKU - ukuvala umngxuma.

3. I-Endoscopic full-thickness resection (EFTR)

Isalathiso sempumelelo: Unyango lwamathumba egastric stromal (GIST) asuka kumaleko angaphakathi kwezihlunu.

Isitshixo sobugcisa: Utyando oludibeneyo lwe-Laparoscopic endoscopic (LECS) luqinisekisa ukhuseleko.

Izixhobo ezitsha zokuthunga (ezifana ne-OverStitch)™） Qonda ukuthungwa komaleko opheleleyo.

3, Iskimu esidityanisiweyo sokuxilongwa kwethumba kunye nonyango

1. I-Endoscopic guided radiofrequency ablation (EUS-RFA)

Unyango lomhlaza we-pancreatic: inaliti ye-19G yokubhoboza yaziswa kwi-RF probe, kwaye izinga lolawulo lwendawo laliyi-73% (≤ 3cm tumor).

Xa kuthelekiswa notyando oluvulekileyo, izinga lengxaki liye lehla ukusuka kwi-35% ukuya kwi-8%. Ukusetyenziswa komhlaza wesibindi: Ukukhutshwa kwethumba kwi-duodenal lobe kwi-caudate lobe yesibindi.

2. Ukuhamba ngeFluorescent utyando lwe-endoscopic

Itekhnoloji yokulebula i-ICG: inaliti ye-intravenous yangaphambi kokuhlinzwa, i-endoscopy ekufutshane ne-infrared (efana ne-Olympus OE-M) ukubonisa uluhlu lwe-lymphatic drainage. Ukugqitywa kwe-lymph node dissection ngexesha lotyando lomhlaza wesisu luphuculwe ngama-27%.

Iiprobe zefluorescent ezijoliswe kuzo (inqanaba lovavanyo): njenge-MMP-2 enzyme responsive probes, ngokukodwa ileyibhile i-metastases encinci.

I-4, Ukuveliswa kwezinto eziNgxamisekileyo kunye neemeko zoNonophelo oluBalulekileyo

1. Ukopha okuqatha kwesisu

I-Hemospray yomgubo we-hemostatic:

Ngaphantsi kwe-endoscopic yokutshiza, umqobo womatshini wenziwa, kunye nezinga le-hemostasis ye-92% (i-Forrest Grade Ia yokuphuma kwegazi).

Ngaphezulu kweClip yoMda (OTSC):

O "Bear Claw" uyilo, ukuvala isilonda sokugqobhoza kunye nobubanzi obufikelela kwi-3cm.

2. I-Endoscopic decompression yokuthintela amathumbu

Isibiyeli sentsimbi esizandisayo (SEMS):

Unyango lwebhulorho kwisithintelo esibi sekholoni, kunye nesantya soncedo esingaphezulu kwe-90% kwiiyure ezingama-48.

Izibiyeli ezitsha zokusika i-laser (ezifana ne-Niti-S) ™) Nciphisa ireyithi yeshifti ukuya kwi-5%.

5. Izalathiso zobuchwepheshe bexesha elizayo

1. Inkqubo yokwenza izigqibo ngexesha lokwenyani ye-AI:

Njenge-Cosmo AI ™ Ziqonde ngokuzenzekelayo isantya sokurhoxisa ngexesha lovavanyo lwekholonoscopy, ukunciphisa ukuxilongwa kwe-adenoma ephosiweyo (i-ADR inyuke nge-12%).

2. I-endoscope ye-capsule eyonakaliswayo:

Isakhelo se-Magnesium alloy+iqokobhe le-polylactic acid, inyibilikiswe emzimbeni kwiiyure ezingama-72 emva kokuhlolwa.

3. I-endoscope yerobhothi encinci:

"Irobhothi ye-origami" evela kwi-ETH Zurich inokuphuhliswa ibe liqonga lotyando lokuthatha isampulu.

Itheyibhile yokuthelekisa impembelelo yezonyango

Iingqwalasela zokuphunyezwa

Izibhedlele zeGrassroots: Okuphambili kufuneka kunikwe ekuxhobiseni imagnethi yolawulo capsule gastroscopy+OTSC hemostatic system.

Isibhedlele sodidi lwesithathu: Kucetyiswa ukuba kusekwe i-ESD+EUS-RFA iziko lonyango lomhlaza elingenabungozi kancinci.

Umkhombandlela wophando: Gxininisa kuhlalutyo lwexesha lokwenyani lwe-AI pathology+i-robotic endoscopy eyonakalayo.

Ezi teknoloji zakha kwakhona i-paradigm yokuxilongwa kunye nonyango lwezifo zesisu ngokusebenzisa iindlela ezintathu eziphambili: ezingahlaseli, ezichanekileyo, kunye nezikrelekrele. Eyona sicelo kufuneka idityaniswe nokwahlukana kwesigulane ngasinye kunye nokufikeleleka kwezibonelelo zonyango.