Endoscopic Submucosal Dissection (ESD) (On-Demandl) | December 2024-Lab Demo 9

Video Transcription

Video Summary

In a video workshop, Dr. Hiroya Hara from Brigham and Women's collaborates with Dr. Alex Schwerk-Thurman from Thomas Jefferson University to demonstrate the use of the Fuji flash knife with track motion for endoscopic submucosal dissection (ESD). The procedure involves making a circumferential incision around a gastric lesion while leaving a border for traction. Utilizing the flash knife with specific settings, Dr. Schwerk-Thurman methodically performs mucosal incisions and creates a submucosal flap. Throughout, the importance of visibility, access, and careful positioning is emphasized to ensure effective use of dynamic traction and decrease procedure time. The demonstration also highlights the track motion's benefits, such as the ability to adjust tissue traction dynamically, aiding in faster and safer ESD procedures. Dr. Shakhtarman also fields questions regarding circumferential incisions, the necessity of double-channel scopes, and the potential for expanding device use in different anatomical locations. The session concludes with a successful resection and announcement of the next demonstration on a different traction method.

Keywords

endoscopic submucosal dissection

Fuji flash knife

dynamic traction

gastric lesion

track motion

circumferential incision

submucosal flap

double-channel scopes

Dr. Hiroya Hara