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

Tatsuo Yachida; Hideki Kobara; Kazuhiro Kozuka; Kaho Nakatani; Naoya Tada; Takanori Matsui; Taiga Chiyo; Nobuya Kobayashi; Shintaro Fujihara; Noriko Nishiyama; Akihiro Kondo; Yasuhisa Ando; Keiichi Okano; Wakako Nonaka; Kaori Ishikawa; Hisashi Masugata; Tsutomu Masaki

doi:10.3390/jcm12062329

Journal of Clinical Medicine (Mar 2023)

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

Tatsuo Yachida,
Hideki Kobara,
Kazuhiro Kozuka,
Kaho Nakatani,
Naoya Tada,
Takanori Matsui,
Taiga Chiyo,
Nobuya Kobayashi,
Shintaro Fujihara,
Noriko Nishiyama,
Akihiro Kondo,
Yasuhisa Ando,
Keiichi Okano,
Wakako Nonaka,
Kaori Ishikawa,
Hisashi Masugata,
Tsutomu Masaki

Affiliations

Tatsuo Yachida: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Hideki Kobara: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Kazuhiro Kozuka: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Kaho Nakatani: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Naoya Tada: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Takanori Matsui: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Taiga Chiyo: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Nobuya Kobayashi: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Shintaro Fujihara: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Noriko Nishiyama: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Akihiro Kondo: Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Yasuhisa Ando: Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Keiichi Okano: Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Wakako Nonaka: Department of General Internal Medicine, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Kaori Ishikawa: Department of General Internal Medicine, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Hisashi Masugata: Department of General Internal Medicine, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan
Tsutomu Masaki: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kita 761-0793, Kagawa, Japan

DOI: https://doi.org/10.3390/jcm12062329
Journal volume & issue: Vol. 12, no. 6
p. 2329

Abstract

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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 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.

Published in Journal of Clinical Medicine

ISSN: 2077-0383 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine
Website: http://www.mdpi.com/journal/jcm

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