Current Applications of Flexible Endoluminal Robotics for Colorectal Endoscopic Submucosal Dissection
Publication in refereed journal

香港中文大學研究人員

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摘要Endoscopic submucosal dissection (ESD) is the current standard treatment for early intramucosal gastrointestinal neoplasia, as ESD achieved a higher rate of en bloc resection and lower rate of local recurrence, especially for neoplastic lesions greater than 20 mm, compared with endoscopic mucosal resection. However, colorectal ESD remains technically challenging, with a significant risk of complications, especially perforation during dissection. The higher risk of perforation is related to the intrinsic operational difficulties of using flexible endoscopy and dissection via the coaxial ESD device, as well as the unfavorable anatomical characteristics, including thin colonic wall and haustrations. The lack of bimanual tissue manipulation, mucosal traction, and poor visualization of dissection plane led to the challenges in colorectal ESD. The development of endoluminal flexible robotic systems aims to overcome these challenges with innovative flexible robotics to refine the endoscope and instrumentations, some of which have already been used in clinical trials. Preclinical studies demonstrated promising outcomes with using flexible robotics in improving the learning curve of colorectal ESD. This review will also explore future development of endoluminal flexible robotics and a training system, which are crucial to ensure an effective, efficient, and safe training program for novice endoscopists to perform robotic colorectal ESD.
著者Lam TLN, Chiu PWY
期刊名稱TECHNIQUES AND INNOVATIONS IN GASTROINTESTINAL ENDOSCOPY
出版年份2023
卷號25
期次1
出版社ELSEVIER SCIENCE INC
頁次88 - 94
國際標準期刊號2666-5107
電子國際標準期刊號2590-0307
語言英式英語
關鍵詞Endoscopic submucosal dissection (ESD), Colorectal tumor, Endoluminal robotics, Thera-peutic endoscopy
Web of Science 學科類別Gastroenterology & Hepatology;Gastroenterology & Hepatology

上次更新時間 2024-27-02 於 00:45