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Robot-assisted gastric endoscopic submucosal dissection significantly improves procedure time at challenging dissection locations.
Robot-assisted gastric endoscopic submucosal dissection significantly improves procedure time at challenging dissection locations. Surgical endoscopy Kim, S. H., Kwon, T., Choi, H. S., Kim, C., Won, S., Jeon, H. J., Kim, E. S., Keum, B., Jeen, Y. T., Hwang, J. H., Chun, H. J. 2024Abstract
Endoscopic submucosal dissection (ESD) is the standard treatment for early malignant stomach lesions. However, this procedure is technically demanding and carries a high complication risk. The level of difficulty in performing ESD is influenced by the location of the lesion. In our study, we aimed to investigate and analyze the effectiveness of robot-assisted ESD for lesions situated in challenging locations within the stomach.We developed a gastric simulator that could be used to implement various gastric ESD locations. An EndoGel (Sunarrow, Tokyo, Japan) was attached to the simulator for the dissection procedures. Robot-assisted or conventional ESD was performed at challenging or easy locations by two ESD-trainee endoscopists.The procedure time was remarkably shorter for robotic ESD than conventional dissection at challenging locations (6.2 vs. 10.2 min, P?
View details for DOI 10.1007/s00464-024-10743-9
View details for PubMedID 38467861
View details for PubMedCentralID 5018178