ASGE/JGES Advanced ESD (Live and Virtual) | July 16-17 2023-7-17-23 Lab Hands-On Virtual Demonstration Part 4

Video Transcription

Video Summary

The video features Professor Sergei Kanzaboi demonstrating an endoscopic submucosal dissection (ESD) procedure using the Dual Knife-J and dual knife in combination with track motion device for counter-traction. Initially, a small submucosal tissue injection is made using a needle to compensate for the thick pig tissue that the dual knife cannot inject through. The dual knife is then used to perform a circumferential incision, and track motion is employed to facilitate tissue dissection. The video emphasizes the importance of maintaining good traction and identifying tissue that hinders progress. The use of a blue-colored solution aids in identifying the submucosal layer. The video also showcases the over-stitch suturing device for closing the defect created by the ESD procedure. The procedure is demonstrated as a single-operator process, and the video concludes with a discussion on training requirements for using the over-stitch device.

Asset Subtitle

ESD
Norio Fukami, MD, MASGE
Sergey Kantesvoy, MD, FASGE

Keywords

endoscopic submucosal dissection

Dual Knife-J

dual knife

track motion device

traction

over-stitch suturing device