Endoscopic Submucosal Dissection (ESD) (On-Demandl) | December 2024-Lab Demo 5

Video Transcription

Video Summary

The session focused on demonstrating a medical technique using a flush knife and various tools to create a pocket, guided by Dr. Fukuda from Jichi Medical University. The flush knife is noted for its small caliber and suction capability. The procedure involves marking the region and injecting submucosal material before creating a pocket using specific equipment, like the SD foot and a Samilcosal cap. Techniques vary based on hospital practices, such as using gravity side or entry side traction for opening and closing pockets, especially relevant for gastrointestinal surgeries like colorectal ESD. Dr. Fukuda highlighted the importance of pocket width, stability from using Samucoser, and the benefits of gravity side traction. Additional techniques, including traction methods like clip'n line and dual-device usage, were discussed. The importance of adapting techniques based on case difficulty and combining methods for efficiency was emphasized, with a nod to cost variations in equipment between Japan and the U.S.

Keywords

medical technique

flush knife

pocket creation

gastrointestinal surgery

traction methods

equipment cost