Application of dental floss traction assisted technique in endoscopic submucosal dissection for early rectal cancer and precancerous lesions
10.3969/j.issn.1007-1989.2018.06.013
- VernacularTitle:牙线牵引辅助技术在内镜黏膜下剥离早期直肠癌及癌前病变中的应用研究
- Author:
Hong-Bo WANG
1
;
Miao LIU
;
Ming-Yao XU
;
Yin GUO
;
Xia PAN
;
Qing-Bo CHEN
Author Information
1. 湖北省肿瘤医院 内镜科
- Keywords:
early rectal tumor;
precancerous lesions;
endoscopic submucosal dissection;
dental floss traction
- From:
China Journal of Endoscopy
2018;24(6):71-77
- CountryChina
- Language:Chinese
-
Abstract:
Objective?To investigate the efficacy and safety of dental floss traction assisted technique in endoscopic submucosal dissection (ESD) of early rectal cancer and precancerous lesions.?Methods?57 patients recived ESD for early colorectal cancer and precancerous lesions from September 2014 to June 2017 were randomly divided into dental floss traction group (n = 28) and routine group (n = 29). To compare the average operation time, the amount of supplementary submucosal injection, and frequency of supplementary submucosal injection, complete resection rate, R0 resection rate, complications and follow-up results of the two groups.?Results?All 57 cases were treated with ESD successfully. The average operation time, the amount of supplementary submucosal injection and the frequency of injection were significantly less in the dental floss traction group than in the conventional group [(55.11 ± 10.44) vs (74.72 ± 14.47) min; (5.80 ± 1.80) vs (10.00 ± 5.70) ml; frequency (1.10 ± 0.90) vs (1.70 ± 0.90)]. The average operation time (P = 0.000), the amount of supplementary submucosal injection (P = 0.001) and the frequency of supplementary submucosal injection (P = 0.022) were significantly different between the two groups. The complete resection rate and R0 resection rate were 100.0% in both groups. There was no bleeding or perforation in the dental floss traction group, and 1 cases (3.4%) in the conventional group had delayed bleeding after operation, and 2 cases (6.9%) perforation occurred during the operation, and there was no significant difference between the two groups (P > 0.05). No recurrence was found in the two groups during follow-up period.?Conclusions?Dental floss traction assisted technique can significantly shorten the operation time of ESD, reduce the amount and frequency of supplementary submucosal injection and ensure good therapeutic effect for early colorectal cancer and precancerous lesions.
