Related Experiment Video
Updated: Sep 5, 2025
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
627
Purely endoscopic appendectomy.
Sergey V Kantsevoy1, Gordon Robbins1, Amit Raina1
1Institute for Digestive Health and Liver Diseases, Mercy Medical Center, Baltimore, Maryland.
Summary
This video demonstrates a novel endoscopic technique for resecting a submucosal nodule in the cecum. The procedure utilizes a double-balloon endoluminal interventional platform for safe and effective appendix removal and defect closure.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
- Minimally Invasive Procedures
Background:
- Submucosal nodules in the cecum can pose diagnostic and therapeutic challenges.
- Traditional surgical approaches may involve significant invasiveness.
Purpose of the Study:
- To showcase a novel endoscopic submucosal dissection technique for cecal submucosal nodules.
- To demonstrate the feasibility of using a double-balloon endoluminal interventional platform (DBEIP) for lesion resection and defect closure.
Main Methods:
- Submucosal injection followed by a circumferential mucosal incision around the lesion.
- Deployment of DBEIP, attachment of mucosal edges to a suture-loop, and traction for lesion retrieval into the cecum.
- Endoscopic submucosal dissection using DualKnife and HookKnife, followed by closure of the full-thickness cecal wall defect with endoscopic suturing.
Main Results:
- Successful endoscopic resection of a submucosal nodule in the cecum.
- Complete closure of the full-thickness cecal wall defect using the Overstitch endoscopic suturing device.
- The entire procedure was performed and visualized endoscopically.
Conclusions:
- This endoscopic technique offers a minimally invasive option for cecal submucosal nodule resection.
- The DBEIP and endoscopic suturing device facilitate safe and effective lesion removal and defect repair.
Related Concept Videos
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
159
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
159
01:26Endoscopic Procedures V: ERCP
863
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
863
01:29Appendicitis-II: Diagnostic Studies and Management
138
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
138
01:22Appendicitis-I: Introduction
548
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
548
01:28Endoscopic Procedures III: Video Capsule Endoscopy
323
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
323
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
343
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
343