Application of a novel endoscopic suture device to endoscopic submucosal dissection
10.3760/cma.j.issn.1007-5232.2016.01.009
- VernacularTitle:新型缝合线圈在内镜黏膜下剥离术中的初步应用
- Author:
Yan LIU
;
Yang XU
;
Min MIN
;
Wei SHEN
- Publication Type:Journal Article
- Keywords:
Gastrointestinal neoplasms;
Suture techniques;
Endoscopic enucleation of submu-cosal tumor;
Hemostasis,endoscopic
- From:
Chinese Journal of Digestive Endoscopy
2016;(1):45-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate a new suture coil in endoscopic submucosal dissection (ESD). Methods Data of 15 patients with early gastrointestinal cancer undergoing ESD were retrospectively ana?lyzed. The edge of the lesion was pulled up by the new coil?assisted suture for the submucosal layer to be full?y revealed, then the submucosa were dissected,and the wound was stitched by suture coil. The success rate and complications were evaluated. Results The lesions were successfully resected in 15 patients. By pull?up, the submucosal blood vessels were completely revealed. No intraoperative uncontrollable bleeding oc?curred. Small perforation occurred in one patient, and was well stitched by the suture coil. The pull?ups were successfully completed in all patients, and the operation time was 5?10 min. The intraoperative slippage of fixed titanium clips occurred in two cases. All the wounds were stitched. Minor bleeding happened in 1 pa?tient, and was controlled by hemostatic clip. Conclusion The new suture coil is easy to use,and can effec?tively prevent and deal with the occurrence of intraoperative and postoperative ESD?related complications.
