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Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection? (with Video)
- Source :
- Clinical Endoscopy. 54:555-562
- Publication Year :
- 2021
- Publisher :
- The Korean Society of Gastrointestinal Endoscopy, 2021.
-
Abstract
- Background/Aims: A new medical fiber-guided diode laser system (FDLS) is expected to offer high-precision cutting with simultaneous hemostasis. Thus, this study aimed to evaluate the feasibility of using the 1,940-nm FDLS to perform endoscopic submucosal dissection (ESD) in the gastrointestinal tract of an animal model.Methods: In this prospective animal pilot study, gastric and colorectal ESD using the FDLS was performed in ex vivo and in vivo porcine models. The completeness of en bloc resection, the procedure time, intraprocedural bleeding, histological injuries to the muscularis propria (MP) layer, and perforation were assessed.Results: The en bloc resection and perforation rates in the ex vivo study were 100% (10/10) and 10% (1/10), respectively; those in the in vivo study were 100% (4/4) and 0% for gastric ESD and 100% (4/4) and 25% (1/4) for rectal ESD, respectively. Deep MP layer injuries tended to occur more frequently in the rectal than in the gastric ESD cases, and no intraprocedural bleeding occurred in either group.Conclusions: The 1,940-nm FDLS was capable of yielding high en bloc resection rates without intraprocedural bleeding during gastric and colorectal ESD in animal models.
- Subjects :
- Gastrointestinal tract
medicine.medical_specialty
business.industry
Perforation (oil well)
Gastroenterology
Medicine (miscellaneous)
Endoscopic mucosal resection
Endoscopic submucosal dissection
03 medical and health sciences
0302 clinical medicine
Electrical current
In vivo
030220 oncology & carcinogenesis
Hemostasis
Medicine
030211 gastroenterology & hepatology
Radiology, Nuclear Medicine and imaging
Radiology
business
Ex vivo
Subjects
Details
- ISSN :
- 22342443 and 22342400
- Volume :
- 54
- Database :
- OpenAIRE
- Journal :
- Clinical Endoscopy
- Accession number :
- edsair.doi...........166ae63c86f21dc1e0c58a06086b9318