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Robotic-assisted traction and closure during colorectal endoscopic submucosal dissection
Carlos Bertran-Rodriguez1, Maham Hayat1, Zubair Khan1
1Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA.
Summary
A novel robotic gripper device aids in endoscopic submucosal dissection (ESD) by providing crucial tissue traction. This technology enhances visualization and control during the challenging ESD procedure.
Area of Science:
- Gastroenterology
- Medical Robotics
- Surgical Technology
Background:
- Endoscopic submucosal dissection (ESD) is complex, often lengthy, and carries risks.
- A newly FDA-approved robotic gripper offers tissue traction and closure for endoscopic procedures.
Purpose of the Study:
- To demonstrate the utility of a robotic gripper for tissue traction during ESD.
- To evaluate the device's impact on procedure efficiency and safety.
Main Methods:
- A robotic platform with a multi-degree motion arm mounted on the endoscope was utilized.
- The robotic arm provided real-time tissue tension and manipulation during ESD.
Main Results:
- The robotic gripper facilitated traction during ESD for a large rectal tumor.
- Optimal tissue tension and visualization were achieved, aiding dissection.
- The en bloc-resected specimen measured 75 × 70 mm.
Conclusions:
- The robotic arm effectively assists with tissue traction in ESD.
- This technology enables dynamic tissue manipulation, improving visualization and tension control.
- The device also aids in tissue apposition for mucosal closure.