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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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[Endoscopic full-thickness resection].
1Medizinische Klinik I, Gastroenterologie und Onkologie, Klinikum Ludwigsburg, Posilipostr. 4, 71640, Ludwigsburg, Deutschland.
Der Internist
|June 12, 2016
Summary
Full-thickness resection devices (FTRD) offer a new approach for gastrointestinal neoplasm removal, overcoming limitations of conventional endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). This study reviews FTRD techniques, focusing on lower GI tract applications.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
Background:
- Conventional endoscopic resection (EMR, ESD) is limited to superficial GI layers.
- Lesions in deeper layers or difficult locations pose resection challenges.
- Larger lesions (>2cm) benefit from ESD's en bloc resection but it's technically demanding.
Purpose of the Study:
- To review available endoscopic full-thickness resection (FTR) techniques.
- To focus on the experience with the full-thickness resection device (FTRD) in the lower GI tract.
Main Methods:
- Review of current endoscopic full-thickness resection techniques.
- Focus on the full-thickness resection device (FTRD) system, CE marked since 2014.
- FTRD combines over-the-scope clip (OTSC) application and snare polypectomy.
Main Results:
- Over-the-scope clips (OTSC) improve management of complications like bleeding and perforation.
- Full-thickness resection techniques are gaining focus in interventional endoscopy.
- The FTRD system provides a novel approach for full-thickness resection in the lower GI tract.
Conclusions:
- Endoscopic full-thickness resection, particularly with the FTRD, expands treatment options for GI neoplasms.
- FTRD offers a potentially safer and more effective method for specific lesion types and locations.
- Further experience with FTRD in the lower GI tract is highlighted.
