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Updated: Apr 11, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors

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Minimally invasive enteroscopically guided small bowel resection.

Tommy C H Man¹, K C Ng¹, K W Wong¹

¹Department of Surgery, Caritas Medical Centre, Shamshuipo, Hong Kong.

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi

|June 6, 2015

Summary

This summary is machine-generated.

Accurately locating small bowel lesions can be challenging. This case report details a minimally invasive technique using enteroscopy-guided resection for improved small bowel surgery.

Keywords:

Double-balloon enteroscopy Intestine, small/surgery Minimally invasive surgical procedures

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Area of Science:

Gastroenterology
Minimally Invasive Surgery
Surgical Oncology

Background:

Accurate localization of small bowel pathology, particularly intramural lesions, presents a significant diagnostic and surgical challenge.
Current diagnostic methods like laparoscopy may not always allow for complete visualization of small bowel lesions.
Traditional laparotomy, while accurate, involves substantial surgical trauma, contrasting with the trend towards minimally invasive approaches.

Observation:

This report presents a case study focusing on a patient with a small bowel lesion requiring surgical intervention.
The challenge of precise lesion localization and the need for complete yet minimally invasive resection were key considerations.
The study highlights the application of a novel approach combining enteroscopy with surgical resection.

Findings:

A minimally invasive technique for small bowel resection guided by enteroscopy was successfully employed.
This approach allowed for precise localization and complete excision of the intramural small bowel lesion.
The procedure aimed to minimize surgical trauma while ensuring oncological safety and completeness of resection.

Implications:

This enteroscopically guided approach offers a promising minimally invasive alternative for managing small bowel pathologies.
It potentially reduces patient recovery time and surgical morbidity compared to traditional laparotomy.
Further research into this technique could advance the field of minimally invasive gastrointestinal surgery.