|Table of Contents|

Application of rubber band traction assisted technique in endoscopic submucosal dissection of early esophageal cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

2023 13
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Application of rubber band traction assisted technique in endoscopic submucosal dissection of early esophageal cancer
XIE WenfuWEI MingyongSHI XiaoqiongPENG XueHE MeilinSHU Qiao
Department of Gastroenterology,Sichuan Science City Hospital,Sichuan Mianyang 621900,China.
early esophageal carcinomaendoscopic submucosal dissectiona rubber banddental flosstraction aid
Objective:To observe the clinical value of rubber band traction assisted technique in endoscopic submucosal dissection of early esophageal cancer.Methods:A total of 86 patients with early esophageal cancer admitted to our hospital from January 2020 to May 2022 were selected,all of whom underwent endoscopic submucosal dissection(ESD).They were divided into dental floss group(43 cases,floss traction aid) and rubber band group(43 cases,rubber band traction aid) by random number table method.The perioperative indexes and stress indexes of preoperative,postoperative 1,3 d between the two groups were compared.The surgical results,intraoperative and postoperative complications and follow-up results between the two groups were compared.Results:Compared with the dental floss group,the operation time was shorter,the times of injection and withdrawal,supplementary injection were less,and the rate of tourniquet disengagement was lower in rubber band group(P<0.05).On day 1 and 3 after surgery,compared with the dental floss group,the levels of serum cortisol(Cor),prostaglandin E2(PEG2) and substance P(SP) in rubber band group were lower(P<0.05).All patients underwent ESD surgery,and the lump resection rate of whole block,complete resection rate and one-time radical resection rate of dental floss group lesions were 100%,100% and 97.67%,respectively,and one case did not achieve one-time radical resection due to deep submucosal invasive carcinoma.The resection rate of whole block,complete resection rate and one-time radical resection rate in rubber band group were all 100%.All patients did not have heavy bleeding or perforation during surgery,and no stenosis occurred after surgery.All patients were followed up until November 2022,with a follow-up period of 6~34 months and a median follow-up of 16 months.In the dental floss group,one patient had surgery and radiotherapy at 14 months and there was no recurrence during follow-up.The rest of the patients did not develop lymph node metastasis or recurrence.Conclusion:The application of rubber band traction assistance technique in ESD of early esophageal cancer can shorten the operation time,relieve postoperative stress reduce the times of injection and withdrawl,reduce the number of supplementary injection,and the device is not easy to be detached.It can completely cure the lesion,and is safe and effective.


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Last Update: 2023-05-31