Natural Orifice Transluminal Endoscopic Surgery-ENDOSCOPIC INTRAPERITONEAL SUBSEROSAL DISSECTION (EISD) BETTER VIEW, SAFER OPERATION

ENDOSCOPIC INTRAPERITONEAL SUBSEROSAL DISSECTION (EISD) BETTER VIEW, SAFER OPERATION

Video Transcription

Video Summary

This video discusses a modified method called endoscopic intraperitoneal subserosal dissection (EISD) for the removal of gastric submucosal tumors (SMTs) with predominantly extraluminal growth patterns. In the first case, a 37-year-old patient with an SMT in the gastric body underwent EISD, which involved creating an incision, tunneling between the submucosa and the muscularis propria, perforating the gastric muscularis propria, and dissecting the tumor without interrupting the capsule. The operation took 70 minutes, and the pathology result was a stromal tumor. In the second case, a 2.5 cm SMT in the gastric body underwent the same procedure, with an operating time of 65 minutes and a similar pathology result. The video highlights the advantages of EISD, including maintaining mucosa integrity, ease of closure, and better visualization compared to traditional techniques. The conclusion suggests that further large-scale studies are needed to assess the safety and efficacy of EISD.

Asset Subtitle

Video Plenary - Authors: Xinyang Liu, Jianwei Hu, Pinghong Zhou

Keywords

endoscopic intraperitoneal subserosal dissection

gastric submucosal tumors

extraluminal growth patterns

EISD

mucosa integrity