ASGE JGES Advanced ESD (On-Demand) | September 2022 OLESDSEPT22ADV-Robotic Assisted ESD

Video Transcription

Video Summary

In a video, the speaker discusses robotic-assisted endoscopic submucosal dissection (ESD) as a potential future option. They reference a study by Dr. Stavros' group, which suggests that mastery of ESD requires a certain number of cases for each organ: 170 cases for esophageal, 160 cases for gastric, 280 cases for colonic, and 70 cases for rectal. The speaker highlights challenges in ESD, such as stabilizing target tissue using a single-channel endoscope and the need for precise maneuvering. They discuss the limitations of current flexible endoscopes and the benefits of robotic technology, including dexterity and stability. The speaker introduces an FDA-unapproved endoscopic robotic system called EndoQuest, discussing its components and capabilities. They mention a study comparing conventional ESD and robotic ESD, showcasing the latter's higher complete resection rate, shorter procedure times, and lower perforation rate. The speaker concludes by mentioning possible limitations of robotic platforms, including training, cost, and limitations in target organ accessibility.

Asset Subtitle

Hiroyuki Aihara, MD, PhD, FASGE, FJGES

Keywords

robotic-assisted endoscopic submucosal dissection

ESD

EndoQuest

complete resection rate

robotic platforms