Related Experiment Video
Updated: Sep 27, 2025
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
12.9K
Traction method versus conventional endoscopic submucosal dissection for gastric epithelial neoplasms: A randomized
Jun Kinoshita1, Mikitaka Iguchi1, Takao Maekita1
1Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
Medicine
|April 14, 2022
Summary
EndoTrac endoscopic submucosal dissection (ESD) may reduce procedure time and adverse events for gastric neoplasms compared to conventional ESD. This technique could lower patient stress, hospital stays, and costs, promoting wider adoption.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
- Oncology
Background:
- Endoscopic submucosal dissection (ESD) is an advanced technique for resecting superficial gastrointestinal neoplasms.
- Gastric ESD is minimally invasive but technically challenging, often requiring long procedure times.
- Traction-assisted methods aim to improve ESD, but their effectiveness in reducing procedure time is debated.
Purpose of the Study:
- To compare the efficacy and safety of EndoTrac ESD versus conventional ESD for gastric epithelial neoplasia.
- To evaluate if EndoTrac ESD can reduce the prolonged procedure time associated with conventional gastric ESD.
- To assess the impact of EndoTrac ESD on adverse events and pathological curability.
Main Methods:
- A prospective, multicenter, randomized controlled trial involving 150 patients at two Japanese hospitals.
- Patients with single gastric epithelial neoplasms were randomized to undergo either EndoTrac ESD or conventional ESD.
- The primary endpoint was ESD procedure time, with secondary outcomes including adverse events and pathological curability.
Main Results:
- Procedure time for EndoTrac ESD was significantly reduced compared to conventional ESD (mean difference: [Insert specific time reduction here] minutes).
- Adverse event rates were lower in the EndoTrac ESD group.
- Pathological curability rates were comparable between the two groups.
Conclusions:
- EndoTrac ESD offers a potential advantage by reducing procedure time and adverse events in gastric neoplasm resection.
- This technique may alleviate patient physical stress, shorten hospital stays, and decrease medical costs.
- Reduced technical difficulty with EndoTrac ESD could facilitate its broader global adoption.
