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Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study

Background and Aim: To evaluate the efficacy and safety of a grasping-type knife, called Clutch Cutter (CC), for colorectal endoscopic submucosal dissection (C-ESD). Methods: This was a randomized prospective study. Patients who underwent C-ESD for colorectal neoplasms >20 mm and <50 mm in siz...

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Autores principales: Yachida, Tatsuo, Kobara, Hideki, Kozuka, Kazuhiro, Nakatani, Kaho, Tada, Naoya, Matsui, Takanori, Chiyo, Taiga, Kobayashi, Nobuya, Fujihara, Shintaro, Nishiyama, Noriko, Kondo, Akihiro, Ando, Yasuhisa, Okano, Keiichi, Nonaka, Wakako, Ishikawa, Kaori, Masugata, Hisashi, Masaki, Tsutomu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10056117/
https://www.ncbi.nlm.nih.gov/pubmed/36983328
http://dx.doi.org/10.3390/jcm12062329
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author Yachida, Tatsuo
Kobara, Hideki
Kozuka, Kazuhiro
Nakatani, Kaho
Tada, Naoya
Matsui, Takanori
Chiyo, Taiga
Kobayashi, Nobuya
Fujihara, Shintaro
Nishiyama, Noriko
Kondo, Akihiro
Ando, Yasuhisa
Okano, Keiichi
Nonaka, Wakako
Ishikawa, Kaori
Masugata, Hisashi
Masaki, Tsutomu
author_facet Yachida, Tatsuo
Kobara, Hideki
Kozuka, Kazuhiro
Nakatani, Kaho
Tada, Naoya
Matsui, Takanori
Chiyo, Taiga
Kobayashi, Nobuya
Fujihara, Shintaro
Nishiyama, Noriko
Kondo, Akihiro
Ando, Yasuhisa
Okano, Keiichi
Nonaka, Wakako
Ishikawa, Kaori
Masugata, Hisashi
Masaki, Tsutomu
author_sort Yachida, Tatsuo
collection PubMed
description Background and Aim: To evaluate the efficacy and safety of a grasping-type knife, called Clutch Cutter (CC), for colorectal endoscopic submucosal dissection (C-ESD). Methods: This was a randomized prospective study. Patients who underwent C-ESD for colorectal neoplasms >20 mm and <50 mm in size were enrolled, dividing into two groups: ESD using needle type of dual knife alone (D-group) and circumferential incision using dual knife followed by submucosal dissection using CC (CC-group). The primary outcome was the self-completion rate. The secondary outcomes were intraoperative complication rate, procedure time, and en bloc resection rate. Results: A total of 45 patients were allocated to the D-group and 43 to the CC-group were allocated. The self-completion rate was higher in the CC-group (87% [39/45] vs. 98% [42/43]). All of the six patients with an incomplete procedure in the D-group were completely resected with CC use. The intraoperative complication rate was not significant in either group (D vs. CC: 2% vs. 0%). The mean procedure time was significantly shorter in the D-group than that in the CC-group (62.0 vs. 81.1 min; p = 0.0036). The en bloc resection rate was 100% in the D-group and 98% in the CC-group. Conclusions: While dual knife use is superior to CC in terms of time efficiency, the use of CC may be a safe and efficacious option for achieving complete C-ESD.
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spelling pubmed-100561172023-03-30 Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study Yachida, Tatsuo Kobara, Hideki Kozuka, Kazuhiro Nakatani, Kaho Tada, Naoya Matsui, Takanori Chiyo, Taiga Kobayashi, Nobuya Fujihara, Shintaro Nishiyama, Noriko Kondo, Akihiro Ando, Yasuhisa Okano, Keiichi Nonaka, Wakako Ishikawa, Kaori Masugata, Hisashi Masaki, Tsutomu J Clin Med Article Background and Aim: To evaluate the efficacy and safety of a grasping-type knife, called Clutch Cutter (CC), for colorectal endoscopic submucosal dissection (C-ESD). Methods: This was a randomized prospective study. Patients who underwent C-ESD for colorectal neoplasms >20 mm and <50 mm in size were enrolled, dividing into two groups: ESD using needle type of dual knife alone (D-group) and circumferential incision using dual knife followed by submucosal dissection using CC (CC-group). The primary outcome was the self-completion rate. The secondary outcomes were intraoperative complication rate, procedure time, and en bloc resection rate. Results: A total of 45 patients were allocated to the D-group and 43 to the CC-group were allocated. The self-completion rate was higher in the CC-group (87% [39/45] vs. 98% [42/43]). All of the six patients with an incomplete procedure in the D-group were completely resected with CC use. The intraoperative complication rate was not significant in either group (D vs. CC: 2% vs. 0%). The mean procedure time was significantly shorter in the D-group than that in the CC-group (62.0 vs. 81.1 min; p = 0.0036). The en bloc resection rate was 100% in the D-group and 98% in the CC-group. Conclusions: While dual knife use is superior to CC in terms of time efficiency, the use of CC may be a safe and efficacious option for achieving complete C-ESD. MDPI 2023-03-16 /pmc/articles/PMC10056117/ /pubmed/36983328 http://dx.doi.org/10.3390/jcm12062329 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yachida, Tatsuo
Kobara, Hideki
Kozuka, Kazuhiro
Nakatani, Kaho
Tada, Naoya
Matsui, Takanori
Chiyo, Taiga
Kobayashi, Nobuya
Fujihara, Shintaro
Nishiyama, Noriko
Kondo, Akihiro
Ando, Yasuhisa
Okano, Keiichi
Nonaka, Wakako
Ishikawa, Kaori
Masugata, Hisashi
Masaki, Tsutomu
Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study
title Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study
title_full Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study
title_fullStr Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study
title_full_unstemmed Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study
title_short Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study
title_sort comparison of needle knife versus scissors forceps for colorectal endoscopic submucosal dissection: a prospective randomized study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10056117/
https://www.ncbi.nlm.nih.gov/pubmed/36983328
http://dx.doi.org/10.3390/jcm12062329
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