PROBLEM TO BE SOLVED: To provide a needle holder for endoscopic surgery that allows a suture thread to be wound around the needle holder easily and reliably in a suturing process, especially during ligation, in endoscopic surgery, and a suturing method using the needle holder.SOLUTION: There is provided a needle holder for endoscopic surgery including a body part in which a needle holding grip part for gripping a needle part of a suturing thread with a needle is formed at the tip, and a holding part formed on the needle holding grip part side of the body part for forming a gap for holding a suturing thread part of the suturing thread with a needle, and a suturing method using the needle holder. The holding part is formed so as to be opened and closed relative to the tip direction.SELECTED DRAWING: Figure 1【課題】 内視鏡手術における縫合工程、特に結紮時において、持針器に縫合糸を簡便に、且つ確実に巻き付けることが可能な内視鏡手術用の持針器及びこれを用いた縫合方法を提供する。【解決手段】 針付き縫合糸の針部分を把持する持針把持部が先端部分に形成された本体部と、前記本体部の前記持針把持部側に形成され、前記針付き縫合糸の縫合糸部分を保持する空隙を形成する保持部とを備え、前記保持部は、前記先端部分方向に対して開閉自在に形成されることを特徴とする内視鏡手術用の持針器及びこれを用いた縫合方法。【選択図】 図1