Endoscopic Submucosal Dissection (ESD) (In-person or Virtual) | December 2024-Principles of the pocket-tunneling and retraction techniques

Principles of the pocket-tunneling and retraction techniques

Video Transcription

Video Summary

The speaker discusses principles of pocket tunneling and retraction techniques in endoscopic submucosal dissection (ESD), emphasizing the complexity of the procedure and its surgical comparisons. ESD is likened to minimally invasive surgery, with visualization and traction challenges akin to cutting a steak with one hand. Traction, which can be provided by gravity, enhances precision and safety by stabilizing tissue during dissection. Techniques like pocket creation and mucosal tunneling are highlighted, using gravity to aid in lesion dissection and fluid management. The speaker also compares these techniques metaphorically to maintaining stability in a hot dog by using a baguette, illustrating the importance of creating a stable environment for dissection. They cover traction systems, noting the need for direction over force to prevent specimen damage, and mention underwater ESD's advantages in field visualization and buoyancy. The talk concludes with tips on employing combined techniques tailored to specific cases for optimal outcomes.

Asset Subtitle

Dennis Yang

Keywords

endoscopic submucosal dissection

traction techniques

pocket tunneling

minimally invasive surgery

underwater ESD