ENDO THERAPY
Endoscopic Submucosal Dissection (ESD)
Introduction ESD
Endoscopic Submucosal Dissection (ESD) is a non-invasive
procedure that uses a flexible endoscope to remove precancerous
and cancerous areas in the gastrointestinal (GI) tract.
This procedure leaves no scars on the outside of the patient's body,
has a fast recovery rate, and a short hospital stay.
It is generally recommended for lesions larger than 20mm
in diameter without lymph node metastasis.
ESD Procedure
-
step 01
Marking
-
Make dots using a dual knife around the lesion
-
step 02
Injection
-
Inject fluid to submucosal layer under lesion
-
step 03
Pre-cutting
-
Cut mucosal layer along the marking dots around the lesion
-
step 04
Pre-dissection
-
Dissect the submucosal layer under the lesion
-
step 05
Major dissection
-
Push endoscope deeper under the lesioned mucosal layer and continue the dissection
-
step 06
Closing
-
Close the mucosal perforation using clips or a stitching device
Clinical Issue of ESD
-
Blind Dissection
-
Without direct visual guidance, there's a higher risk of unintentional damage to surrounding tissues, blood vessels and perforation issues
The lack of direct visualization may lead to a longer surgical time compared to procedures where visual guidance is available
-
Large Size Wound Closing
-
Closure of mucosal wound caused after ESD increases the patient's recovery speed and shortens the hospitalization period
When attempting to close a mucosal wound larger than the opening width of the clip, endoscopists often encounter difficulty and achieve a lower rate of complete closure
Endorobotics Solution for ESD
The traction device seamlessly integrates with the closing device without requiring any changes
TraCloser can facilitate both dissection and closure of ESD with one product
TraCloser reduces the perforation rate, shortens procedure time, expand applicable cases,
and improves the rate of complete closure and recovery after ESD procedures
