Application of flexible auxiliary single-arm transluminal endoscopic robot in esophageal endoscopic submucosal dissection
- VernacularTitle:柔性臂消化内镜手术机器人在食管内镜黏膜下剥离术中的应用效果
- Author:
Qingmin LI
1
;
Ruixin ZHANG
;
Maosheng LI
;
Rui JI
Author Information
- Keywords: flexible auxiliary single-arm transluminal endoscopic robot(FASTER); traditional surgery; endoscopic submucosal dissection(ESD); esophagus
- From: China Journal of Endoscopy 2024;30(6):17-22
- CountryChina
- Language:Chinese
- Abstract: Objective To compare the efficacy of endoscopic submucosal dissection(ESD)using the flexible auxiliary single-arm transluminal endoscopic robot(FASTER)with that of the traditional technique,and explore a safer and more efficient ESD operation method.Methods FASTER-assisted ESD and traditional ESD were used to operate in the isolated pig esophagus model.The differences of total procedure time,ESD time,the rate of direct-vision dissection,complete en bloc resection and complication rate between the two groups were compared and analyzed.Results The total procedure time[(19.2±2.9)and(28.9±8.2)min]and ESD time[(13.0±2.9)and(21.6±8.3)min]were significantly shorter in FASTER-assisted ESD group than those in traditional ESD group,the differences were statistically significant(P<0.01);The rate of direct-vision dissection was significantly higher than that of the traditional ESD(96.2%and 65.4%),the difference was statistically significant(P=0.014).Muscle layer injury rate was significantly lower than of the traditional group(19.2%and 69.2%),the difference was statistically significant(P<0.01).There was no significant difference in complete en bloc resection rate and perforation rate between the two groups(P>0.05).These advantages were more apparent in esophageal non-gravity lesions.Conclusion Esophageal ESD assisted by FASTER is safer and more efficient than traditional ESD.
