Review of Pure Endoscopic Full-Thickness Resection of the Upper Gastrointestinal Tract

Gut and Liver
H MoriTsutomu Masaki

Abstract

Natural-orifice transluminal endoscopic surgery (NOTES) using flexible endoscopy has attracted attention as a minimally invasive surgical method that does not cause an operative wound on the body surface. However, minimizing the number of devices involved in endoscopic, compared to laparoscopic, surgeries has remained a challenge, causing endoscopic surgeries to gradually be phased out of use. If a flexible endoscopic full-thickness suturing device and a counter-traction device were developed to expand the surgical field for gastrointestinal-tract collapse, then endoscopic full-thickness resection using NOTES, which is seen as an extension of endoscopic submucosal dissection for full-thickness excision of tumors involving the gastrointestinal-tract wall, might become an extremely minimally invasive surgical method that could be used to resect only full-thickness lesions approached by the shortest distance via the mouth. It is expected that gastroenterological endoscopists will use this surgery if device development is advanced. This extremely minimally invasive surgery would have an immeasurable impact with regard to mitigating the burden on patients and reducing healthcare costs. Development of a new surgical method using a mu...Continue Reading

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Citations

Apr 17, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ming-Yan CaiPing-Hong Zhou
Dec 12, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yan ZhaoXiaoping Zou
Apr 8, 2016·World Journal of Gastroenterology : WJG·Hirohito MoriTsutomu Masaki

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Methods Mentioned

BETA
dissection
lavage
gastric bypass

Software Mentioned

Middle
DBSS
Mini
Normal

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