ASGE JGES Advanced ESD (On-Demand) | September 2022 OLESDSEPT22ADV-ESD with Pocket-Creation Method: Concept and Technical Tips

Video Transcription

Video Summary

In this video, the speaker discusses the pocket creation method for endoscopic submucosal dissection (ESD) in cancer treatment. The goal of ESD is to resect all tumor tissue and prevent metastasis. The pocket creation method allows for reliable envelope resection with a low risk of local recurrence and provides a high-quality specimen for pathological examination. The speaker explains the importance of obtaining enough submucosal tissue and a good vertical margin for accurate examination. The pocket creation method allows for stable control of the endoscope in the submucosal pocket, making dissection and recognition of blood vessels easier. The speaker demonstrates how to perform the pocket creation method using specific techniques and tools. They also address concerns and provide tips for successfully completing the procedure. The speaker emphasizes that the pocket creation method can be used for most ESD procedures, with the only challenge being the bottom of the fundus. Combining the pocket creation method with traction may further facilitate the procedure. The video concludes with a Q&A session where the speaker answers questions about the technique. The video was published by Dr. Hiroshi Yahagi in 2003 and the pocket creation method was initially referred to as the tunneling method. However, the name was changed to the pocket creation method to better represent the widening of the submucosal pocket during dissection. No additional credits were mentioned in the video.

Asset Subtitle

Hironori Yamamoto, MD

Keywords

endoscopic submucosal dissection

cancer treatment

pocket creation method

tumor tissue resection

metastasis prevention

pathological examination