ASGE/JGES Advanced ESD (On-demand)| July 2023-Lab Hands-On Virtual Demonstration Part 4

Video Transcription

Video Summary

In this video, a live hands-on demonstration of the tunnel method for endoscopic submucosal dissection (ESD) is shown. The speaker discusses the benefits and techniques of the tunnel method, which involves creating a tunnel in the submucosal layer to facilitate the dissection. The speaker uses a special knife with bipolar cutting and coagulation modes to perform the procedure. They demonstrate the use of the knife to make mucosal incisions, create a tunnel, and dissect the submucosal layer. They also discuss the importance of leaving some semicircular tissue intact to maintain tension during the procedure. The speaker emphasizes the need to control the depth of cutting and to be cautious of blood vessels. They demonstrate the use of microwave coagulation to control bleeding. Throughout the video, the commentator provides additional insights and asks questions to clarify certain points. The speaker also addresses questions from the audience regarding the use of the knife and the number of cases needed to become proficient in the technique. The video concludes with the speaker and commentator discussing the applications of the tunnel method and the use of traction techniques in ESD procedures.

Keywords

tunnel method

endoscopic submucosal dissection

ESD

benefits

techniques

special knife

coagulation modes

microwave coagulation

blood vessels

traction techniques