Quantitative evaluation of the safety of mucosal incision and submucosal dissection for colon during endoscopic submucosal dissection using carbon dioxide laser

Author(s):  
Norihiro Honda ◽  
Hisanao Hazama ◽  
Yoshinori Morita ◽  
Kunio Awazu ◽  
Takuma Noguchi
2013 ◽  
Vol 27 (11) ◽  
pp. 4241-4249 ◽  
Author(s):  
Daisuke Obata ◽  
Yoshinori Morita ◽  
Rinna Kawaguchi ◽  
Katsunori Ishii ◽  
Hisanao Hazama ◽  
...  

LASER THERAPY ◽  
2019 ◽  
Vol 28 (2) ◽  
pp. 89-96
Author(s):  
Yoshinori Morita ◽  
Ryosuke Ariyoshi ◽  
Norihiro Honda ◽  
Hisanao Hazama ◽  
Yuzo Kodama ◽  
...  

2021 ◽  
Vol 09 (05) ◽  
pp. E653-E658
Author(s):  
Tatsuma Nomura ◽  
Yoshikazu Hayashi ◽  
Takaaki Morikawa ◽  
Masahiro Okada ◽  
Hisashi Fukuda ◽  
...  

Abstract Background and study aims The pocket-creation method (PCM) facilitates dissection of the central part of a tumor. We previously developed the PCM with clip traction (PCM-CT) to facilitate opening the mucosal pocket, which otherwise could become cumbersome. In the present study, we aimed to examine the feasibility of PCM-CT for colorectal endoscopic submucosal dissection (ESD). Patients and methods PCM-CT was performed on 30 patients with early colorectal tumors from October 2019 to April 2020. PCM-CT allows efficient opening of the mucosal pocket by using the PCM to dissect the center of the lesion and then apply traction with a single clip after making a circumferential mucosal incision. Results The median specimen major axis length, ESD time, ESD speed, and en bloc resection rate were 48 mm, 84 minutes, 20 mm2/min, and 100 % (30/30), respectively. The success rates for the traction clip and median single-clip-traction time were 100 % (30/30) and 1.5 minutes, respectively. Conclusions Colorectal ESD using PCM-CT is a simple and promising method.


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