[Research progress of endoscopic submucosal dissection with traction]

Zhonghua Wei Chang Wai Ke Za Zhi. 2016 Jan;19(1):109-12.
[Article in Chinese]

Abstract

Endoscopic submucosal dissection (ESD) is a widely accepted treatment for early gastrointestinal cancer. However, the steep learning curve of standard ESD procedures makes it less widely applied in clinical practice. Therefore, various traction devices and techniques have been applied previously to facilitate ESD, such as clip-with-line method, Spring-assisted method, S-O clip method, magnetic anchor method, and robot-assisted method. These methods create a clear field of vision and allow dissections to be performed more quickly and safely. In this article, we will discuss various techniques for achieving tractions during ESD on clinical decision, and their advantages and disadvantages.

MeSH terms

  • Dissection
  • Gastric Mucosa*
  • Humans
  • Safety
  • Surgical Instruments
  • Traction*