Clinical application of a simple traction device to colonic endoscopic submucosal dissection (with video)
10.3760/cma.j.cn321463-20231104-00052
- VernacularTitle:一种简易牵引装置在结肠内镜黏膜下剥离术中的临床应用（含视频）
- Author:
Wenping WANG
1
;
Xia LENG
;
Hui CANG
;
Huamin LIU
;
Pengfei LIU
;
Yuejun SUN
;
Fangjun WANG
Author Information
1. 南通大学附属江阴医院消化内科，江阴 214400
- Keywords:
Colonic neoplasms;
Traction;
Endoscopic submucosal dissection;
Metal clip
- From:
Chinese Journal of Digestive Endoscopy
2024;41(5):405-407
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the application value of metal clip combined with suture and rubber coil as a simple traction device in endoscopic submucosal dissection (ESD) for intestinal mucosal lesions, a total of 56 patients with early colonic cancer and precancerous lesions who received ESD in Jiangyin People's Hospital from January 2021 to July 2022 were randomly divided into the control group ( n=28, conventional ESD) and the traction group ( n= 28, suture and rubber coil as a simple traction device). The total time of ESD, mucosal dissection time, number of submucosal injections, complete resection rate and complications were compared between the two groups. The operation time of the traction group was shorter than that of the control group (74.64±33.25 min VS 117.18±35.75 min, t=4.61, P<0.001). The desection time of mucosa in the traction group was shorter than that in the control group (51.61±24.87 min VS 99.11±32.73 min, t=6.11, P<0.001). The number of submucosal injection in the traction group was less than that of the control group with significant difference (1.68±1.16 VS 4.96±1.41, t=9.57, P<0.001). There was no significant differences in operation area, complete resection rate or complication between the two groups ( P>0.05). The traction assistance technology of metal clip combined with suture and rubber coil can reduce the technical difficulty of colonic ESD and shorten the operation time.
