Self-Made Internal Traction Method For Endoscopic Submucosal Dissection of Early Gastric Cancer.

Area of Science:

• Gastroenterology
• Surgical Innovation
• Minimally Invasive Procedures

Background:

• Endoscopic submucosal dissection (ESD) is crucial for early gastric cancer treatment.
• Technical challenges in ESD include limited submucosal visualization and access.
• Existing traction methods can interfere with endoscopic instruments and lack stability.

Purpose of the Study:

• To introduce a self-made multiring thread device for controlled internal traction during gastric ESD.
• To overcome limitations of conventional traction methods in ESD procedures.
• To enhance visualization, maneuverability, and safety in gastric ESD.

Main Methods:

• Development of a custom multiring thread device for internal traction.
• Protocol for preparation and deployment of the device during ESD.
• Utilizing the device for stable and adjustable traction control.

Main Results:

• The multiring thread method provides precise control over traction direction and force.
• Improved exposure of the submucosal layer during dissection.
• Enhanced procedural efficiency and safety compared to conventional methods.

Conclusions:

• The multiring thread technique is a simple, cost-effective, and reproducible method for gastric ESD.
• This approach facilitates better outcomes in early gastric cancer treatment.
• It offers a valuable alternative for improving endoscopic submucosal dissection procedures.