Efficacy of Endoscopic Submucosal Dissection Assisted by Different Traction Techniques in Treatment of Early Esophageal Cancer
10.3969/j.issn.1008-7125.2024.09.005
- VernacularTitle:不同牵引技术辅助内镜黏膜下剥离术治疗早期食管癌的疗效研究
- Author:
Jiangang YANG
1
;
Anxiang LIU
;
Qianqian MENG
;
Jun YANG
;
Bingyan ZHAO
;
Yaowen ZHANG
Author Information
1. 河南省安阳市肿瘤医院内镜诊疗中心(455000)
- Publication Type:Journal Article
- Keywords:
Esophageal Neoplasms;
Endoscopic Submucosal Dissection;
Traction;
Dental Floss;
Snare;
Therapy;
Safety
- From:
Chinese Journal of Gastroenterology
2024;29(9):541-545
- CountryChina
- Language:Chinese
-
Abstract:
Background:Endoscopic submucosal dissection(ESD)is a common minimally-invasive endoscopic treatment for early esophageal cancer.However,it still entails risks such as a narrow operative field,high difficulty in surgical operation,long operation time,and a high incidence of complications like bleeding and perforation.Therefore,precise visualization is of great importance for the safe completion of esophageal ESD.Aims:To explore the value of different traction techniques-assisted ESD in the treatment of early esophageal cancer and compare the application effects of different traction techniques.Methods:The en bloc resection rate and complete resection rate in all three groups were 100%.The dissection speeds of both the dental floss traction group and the snare traction group were significantly faster than that of the traditional ESD treatment group,with a statistically significant difference(P<0.05).There was no statistically significant difference in the dissection speed between the dental floss traction group and the snare traction group(P>0.05).No complications such as oropharyngeal or esophageal mucosal damage caused by the traction devices occurred in the three groups of patients during the peri-operative period.Results:The en bloc resection rate and complete resection rate in all three groups were 100%.The dissection speeds of both the dental floss traction group and the snare traction group were significantly faster than that of the traditional ESD treatment group,with a statistically significant difference(P<0.05).There was no statistically significant difference in the dissection speed between the dental floss traction group and the snare traction group(P>0.05).No complications such as oropharyngeal or esophageal mucosal damage caused by the traction devices occurred in the three groups of patients during the peri-operative period.Conclusions:The dental floss and snare traction techniques can significantly increase the dissection speed of early esophageal cancer.Moreover,the snare traction technique has the advantage of adjustable traction direction,making it safe and effective for clinical promotion.
