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Endoscopic submucosal dissection using an integrated needle-type knife and insulated-tip knife in a single device
Fredy Nehme1, Anthony E Armstrong1, Mehran Taherian2
1Department of Gastroenterology, Hepatology, and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas.
Summary
This video demonstrates endoscopic submucosal dissection (ESD), a minimally invasive procedure. It showcases the use of a multifunctional knife for precise tissue removal during ESD.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Endoscopic submucosal dissection (ESD) is a key technique for early gastrointestinal cancer.
- Advancements in endoscopic tools are crucial for improving ESD efficacy and safety.
Purpose of the Study:
- To present a video demonstrating the application of a multifunctional endoscopic submucosal dissection knife.
- To highlight the capabilities of this specialized instrument in ESD procedures.
Main Methods:
- The video showcases a live endoscopic submucosal dissection (ESD) procedure.
- A multifunctional ESD knife is utilized for lesion cutting and submucosal injection.
Main Results:
- The multifunctional knife facilitates precise dissection and en bloc resection.
- The procedure demonstrates efficient tissue management during ESD.
Conclusions:
- Multifunctional knives enhance the precision and efficiency of endoscopic submucosal dissection (ESD).
- These advanced tools contribute to improved outcomes in minimally invasive gastrointestinal surgery.

