The application of scissors knife in difficult endoscopic submucosal dissection

VernacularTitle:剪状刀在复杂病变内镜黏膜下剥离术中的应用
Author: Geng CHEN ; Hong XU ; Tongyu TANG ; Ke TAO ; Yan XIA
Publication Type:Journal Article
Keywords: Gastrointestinal neoplasms; Medical device; Fees,medical; Endoscopic submucosal dissection
From: Chinese Journal of Digestive Endoscopy 2013;30(11):631-633
CountryChina
Language:Chinese
Abstract: Objective To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) with scissors knife in difficult cases.Methods A total of 36 sessions of ESD in 34 patients were performed from May 2010 to May 2012 with application of new scissors knife.The complications and followup outcomes were recorded.Results All lesions were removed successfully with an en bloc resection rate at 91.7％.Delayed bleeding occurred in 2 patients (5.6％),and both of them were cured sucessfully with endoscopy.No perforation happened and the average hospitalization time was 5 days.Follow-up endoscopy performed 6 or 12 months after ESD in 6 patients revealed no recurrence or residual lesions.Other patients are under follow-up now.Conclusion The scissors knife is easy to manipulate,which can ensure the safety and efficiency of ESD.