Application of in vivo traction-assisted resection of proximal colon lesions: a case series (with video)
Background Endoscopic submucosal dissection (ESD) is the treatment of choice for colorectal neoplasms in Japan. ESD can completely peel off the lesion and is associated with a significantly lower recurrence rate of colorectal cancers than EMR and is widely used to treat gastrointestinal tumors. This...
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| Veröffentlicht in: | Surgical endoscopy 2022-11, Vol.36 (11), p.8231-8236 |
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| description | Background
Endoscopic submucosal dissection (ESD) is the treatment of choice for colorectal neoplasms in Japan. ESD can completely peel off the lesion and is associated with a significantly lower recurrence rate of colorectal cancers than EMR and is widely used to treat gastrointestinal tumors. This study aimed to evaluate in vivo traction in endoscopic submucosal dissection (ESD) of proximal colon lesions.
Methods
This retrospective study included patients with lesions in the proximal colon who received ESD treatment at Qilu Hospital of Shandong University from June 2018 to December 2020. Patients were divided into two groups according to the in vivo traction method (orthodontic ring or elastic ring) during operation. The operation time, dissection time, proportion of complete resection of lesions, and complications were compared between the two groups.
Results
There were 28 patients in this study. In the orthodontic ring group (
n
= 10), the average lesion diameter was 2.0–2.5 cm, and the average operation and dissection times were 26.5 ± 7.47 and 21.5 ± 7.47 min, respectively. In the elastic ring group (
n
= 18), the average lesion diameter was 2.5–5.5 cm, and the average operation and dissection times were 27.39 ± 11.83 and 22.39 ± 11.83 min, respectively. All lesions were completely resected in a single operation, and no wound perforation and delayed bleeding occurred.
Conclusion
In vivo traction-assisted ESD can be used to resect proximal colon lesions in selected patients (precancerous lesions and early colon cancer limited to the mucosa or with a submucosa infiltration depth of |
| doi_str_mv | 10.1007/s00464-022-09266-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2660099923</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2729282323</sourcerecordid><originalsourceid>FETCH-LOGICAL-c338t-7979351ff3de0182c73cd474ff1d2bddc0392f7e09aa5c81f11a63703191a37d3</originalsourceid><addsrcrecordid>eNp9kctuFDEQRS0EIkPgB7KILLEJC0PZ1T1uZzeKwkOKxAbWluMHcdTTHlw9SebvcTIJSFmwKqnq1K3HZexIwkcJoD8RQLfsBCglwKjlUuxesIXsUAml5PCSLcAgCKVNd8DeEF1D443sX7MD7HspsZMLdrXabMbs3ZzLxEvieeI3-abwuTp_nxOOKNMcA6-Ron_CNrXc5bUbuS9jy4yRWoFOuePeUeQUa47ET27zfNX0Qiwf3rJXyY0U3z3GQ_bz8_mPs6_i4vuXb2erC-ERh1loow32MiUMEeSgvEYfOt2lJIO6DMEDGpV0BONc7weZpHRL1IDSSIc64CE72eu2FX9vI812ncnHcXRTLFuy7U8AxhiFDX3_DL0u2zq17azSyqhB4QOl9pSvhajGZDe1nV53VoK998HufbDNB_vgg921puNH6e3lOoa_LU-PbwDuAWql6Ves_2b_R_YPDTeTag</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2729282323</pqid></control><display><type>article</type><title>Application of in vivo traction-assisted resection of proximal colon lesions: a case series (with video)</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Zhang, Aijun ; Song, Yanjun ; Cui, Xiangdan ; Wang, Baihui ; Li, Ruyuan</creator><creatorcontrib>Zhang, Aijun ; Song, Yanjun ; Cui, Xiangdan ; Wang, Baihui ; Li, Ruyuan</creatorcontrib><description>Background
Endoscopic submucosal dissection (ESD) is the treatment of choice for colorectal neoplasms in Japan. ESD can completely peel off the lesion and is associated with a significantly lower recurrence rate of colorectal cancers than EMR and is widely used to treat gastrointestinal tumors. This study aimed to evaluate in vivo traction in endoscopic submucosal dissection (ESD) of proximal colon lesions.
Methods
This retrospective study included patients with lesions in the proximal colon who received ESD treatment at Qilu Hospital of Shandong University from June 2018 to December 2020. Patients were divided into two groups according to the in vivo traction method (orthodontic ring or elastic ring) during operation. The operation time, dissection time, proportion of complete resection of lesions, and complications were compared between the two groups.
Results
There were 28 patients in this study. In the orthodontic ring group (
n
= 10), the average lesion diameter was 2.0–2.5 cm, and the average operation and dissection times were 26.5 ± 7.47 and 21.5 ± 7.47 min, respectively. In the elastic ring group (
n
= 18), the average lesion diameter was 2.5–5.5 cm, and the average operation and dissection times were 27.39 ± 11.83 and 22.39 ± 11.83 min, respectively. All lesions were completely resected in a single operation, and no wound perforation and delayed bleeding occurred.
Conclusion
In vivo traction-assisted ESD can be used to resect proximal colon lesions in selected patients (precancerous lesions and early colon cancer limited to the mucosa or with a submucosa infiltration depth of < 1000 µm).</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-022-09266-y</identifier><identifier>PMID: 35511341</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Colon ; Colon - surgery ; Colorectal cancer ; Dissection ; Endoscopic Mucosal Resection - methods ; Endoscopy ; Gastroenterology ; Gynecology ; Hepatology ; Humans ; Intestinal Diseases ; Medicine ; Medicine & Public Health ; Orthodontics ; Proctology ; Retrospective Studies ; Surgery ; Traction ; Treatment Outcome</subject><ispartof>Surgical endoscopy, 2022-11, Vol.36 (11), p.8231-8236</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c338t-7979351ff3de0182c73cd474ff1d2bddc0392f7e09aa5c81f11a63703191a37d3</citedby><cites>FETCH-LOGICAL-c338t-7979351ff3de0182c73cd474ff1d2bddc0392f7e09aa5c81f11a63703191a37d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-022-09266-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-022-09266-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35511341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Aijun</creatorcontrib><creatorcontrib>Song, Yanjun</creatorcontrib><creatorcontrib>Cui, Xiangdan</creatorcontrib><creatorcontrib>Wang, Baihui</creatorcontrib><creatorcontrib>Li, Ruyuan</creatorcontrib><title>Application of in vivo traction-assisted resection of proximal colon lesions: a case series (with video)</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Endoscopic submucosal dissection (ESD) is the treatment of choice for colorectal neoplasms in Japan. ESD can completely peel off the lesion and is associated with a significantly lower recurrence rate of colorectal cancers than EMR and is widely used to treat gastrointestinal tumors. This study aimed to evaluate in vivo traction in endoscopic submucosal dissection (ESD) of proximal colon lesions.
Methods
This retrospective study included patients with lesions in the proximal colon who received ESD treatment at Qilu Hospital of Shandong University from June 2018 to December 2020. Patients were divided into two groups according to the in vivo traction method (orthodontic ring or elastic ring) during operation. The operation time, dissection time, proportion of complete resection of lesions, and complications were compared between the two groups.
Results
There were 28 patients in this study. In the orthodontic ring group (
n
= 10), the average lesion diameter was 2.0–2.5 cm, and the average operation and dissection times were 26.5 ± 7.47 and 21.5 ± 7.47 min, respectively. In the elastic ring group (
n
= 18), the average lesion diameter was 2.5–5.5 cm, and the average operation and dissection times were 27.39 ± 11.83 and 22.39 ± 11.83 min, respectively. All lesions were completely resected in a single operation, and no wound perforation and delayed bleeding occurred.
Conclusion
In vivo traction-assisted ESD can be used to resect proximal colon lesions in selected patients (precancerous lesions and early colon cancer limited to the mucosa or with a submucosa infiltration depth of < 1000 µm).</description><subject>Abdominal Surgery</subject><subject>Colon</subject><subject>Colon - surgery</subject><subject>Colorectal cancer</subject><subject>Dissection</subject><subject>Endoscopic Mucosal Resection - methods</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Intestinal Diseases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthodontics</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Traction</subject><subject>Treatment Outcome</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kctuFDEQRS0EIkPgB7KILLEJC0PZ1T1uZzeKwkOKxAbWluMHcdTTHlw9SebvcTIJSFmwKqnq1K3HZexIwkcJoD8RQLfsBCglwKjlUuxesIXsUAml5PCSLcAgCKVNd8DeEF1D443sX7MD7HspsZMLdrXabMbs3ZzLxEvieeI3-abwuTp_nxOOKNMcA6-Ron_CNrXc5bUbuS9jy4yRWoFOuePeUeQUa47ET27zfNX0Qiwf3rJXyY0U3z3GQ_bz8_mPs6_i4vuXb2erC-ERh1loow32MiUMEeSgvEYfOt2lJIO6DMEDGpV0BONc7weZpHRL1IDSSIc64CE72eu2FX9vI812ncnHcXRTLFuy7U8AxhiFDX3_DL0u2zq17azSyqhB4QOl9pSvhajGZDe1nV53VoK998HufbDNB_vgg921puNH6e3lOoa_LU-PbwDuAWql6Ves_2b_R_YPDTeTag</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Zhang, Aijun</creator><creator>Song, Yanjun</creator><creator>Cui, Xiangdan</creator><creator>Wang, Baihui</creator><creator>Li, Ruyuan</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20221101</creationdate><title>Application of in vivo traction-assisted resection of proximal colon lesions: a case series (with video)</title><author>Zhang, Aijun ; Song, Yanjun ; Cui, Xiangdan ; Wang, Baihui ; Li, Ruyuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c338t-7979351ff3de0182c73cd474ff1d2bddc0392f7e09aa5c81f11a63703191a37d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdominal Surgery</topic><topic>Colon</topic><topic>Colon - surgery</topic><topic>Colorectal cancer</topic><topic>Dissection</topic><topic>Endoscopic Mucosal Resection - methods</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Intestinal Diseases</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthodontics</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Traction</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Aijun</creatorcontrib><creatorcontrib>Song, Yanjun</creatorcontrib><creatorcontrib>Cui, Xiangdan</creatorcontrib><creatorcontrib>Wang, Baihui</creatorcontrib><creatorcontrib>Li, Ruyuan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Aijun</au><au>Song, Yanjun</au><au>Cui, Xiangdan</au><au>Wang, Baihui</au><au>Li, Ruyuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Application of in vivo traction-assisted resection of proximal colon lesions: a case series (with video)</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2022-11-01</date><risdate>2022</risdate><volume>36</volume><issue>11</issue><spage>8231</spage><epage>8236</epage><pages>8231-8236</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Endoscopic submucosal dissection (ESD) is the treatment of choice for colorectal neoplasms in Japan. ESD can completely peel off the lesion and is associated with a significantly lower recurrence rate of colorectal cancers than EMR and is widely used to treat gastrointestinal tumors. This study aimed to evaluate in vivo traction in endoscopic submucosal dissection (ESD) of proximal colon lesions.
Methods
This retrospective study included patients with lesions in the proximal colon who received ESD treatment at Qilu Hospital of Shandong University from June 2018 to December 2020. Patients were divided into two groups according to the in vivo traction method (orthodontic ring or elastic ring) during operation. The operation time, dissection time, proportion of complete resection of lesions, and complications were compared between the two groups.
Results
There were 28 patients in this study. In the orthodontic ring group (
n
= 10), the average lesion diameter was 2.0–2.5 cm, and the average operation and dissection times were 26.5 ± 7.47 and 21.5 ± 7.47 min, respectively. In the elastic ring group (
n
= 18), the average lesion diameter was 2.5–5.5 cm, and the average operation and dissection times were 27.39 ± 11.83 and 22.39 ± 11.83 min, respectively. All lesions were completely resected in a single operation, and no wound perforation and delayed bleeding occurred.
Conclusion
In vivo traction-assisted ESD can be used to resect proximal colon lesions in selected patients (precancerous lesions and early colon cancer limited to the mucosa or with a submucosa infiltration depth of < 1000 µm).</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35511341</pmid><doi>10.1007/s00464-022-09266-y</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2022-11, Vol.36 (11), p.8231-8236 |
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| subjects | Abdominal Surgery Colon Colon - surgery Colorectal cancer Dissection Endoscopic Mucosal Resection - methods Endoscopy Gastroenterology Gynecology Hepatology Humans Intestinal Diseases Medicine Medicine & Public Health Orthodontics Proctology Retrospective Studies Surgery Traction Treatment Outcome |
| title | Application of in vivo traction-assisted resection of proximal colon lesions: a case series (with video) |
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