Son Hyunjoon, Lee Jonghyun, Han Sung Yong, Kim Tae In, Kim Dong Uk, Kim Daejin, Kim Gun-Ho
Department of Mechanical Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea.
Division of Gastroenterology, Department of Internal Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Clin Endosc. 2024 Sep;57(5):675-682. doi: 10.5946/ce.2024.024. Epub 2024 Jul 29.
BACKGROUND/AIMS: Pancreatic cancer poses significant challenges due to its tendency for late-stage diagnosis and high mortality rates. Cryoablation, a technique used to treat various types of cancer, has shown potential in enhancing the prognosis of pancreatic cancer when combined with other therapies. However, its implementation is often limited by the need for lengthy procedures and specialized equipment. This study aims to develop a cryoablation needle optimized for endoscopic ultrasonography to simplify its application in treating pancreatic cancer.
The study involved conducting cryoablation experiments on swine liver tissue. It utilized cryo-needles to evaluate the extent of cell death across various temperatures and durations of cryoablation.
The cryoablation system, which employed liquid carbon dioxide, achieved rapid cooling, reaching temperatures below -60 °C within 30 seconds and maintained the cryoablation process for 200 seconds. These conditions resulted in necrosis of the liver tissue. Notable cellular changes were observed up to 15 mm away from the cryoablation needle.
This experimental study successfully demonstrated the efficacy of using a cryo-needle for cryoablation in swine liver tissue. Further trials involving pancreatic tissue are expected to verify its effectiveness, underscoring the importance of continued research to establish its role as a complementary therapy in pancreatic cancer treatment.
背景/目的:胰腺癌由于其晚期诊断倾向和高死亡率而带来重大挑战。冷冻消融是一种用于治疗各种类型癌症的技术,与其他疗法联合使用时已显示出改善胰腺癌预后的潜力。然而,其应用往往受到冗长程序和专用设备需求的限制。本研究旨在开发一种针对内镜超声优化的冷冻消融针,以简化其在治疗胰腺癌中的应用。
该研究涉及对猪肝组织进行冷冻消融实验。利用冷冻针评估不同温度和冷冻消融持续时间下的细胞死亡程度。
采用液态二氧化碳的冷冻消融系统实现了快速冷却,在30秒内达到低于-60°C的温度,并将冷冻消融过程维持200秒。这些条件导致肝组织坏死。在距冷冻消融针15毫米处观察到明显的细胞变化。
本实验研究成功证明了在猪肝组织中使用冷冻针进行冷冻消融的有效性。预计涉及胰腺组织的进一步试验将验证其有效性,强调持续研究以确立其作为胰腺癌治疗辅助疗法作用的重要性。