Comparison among different techniques for en-bloc resection of rectal lesions: transanal endoscopic surgery vs. endoscopic submucosal dissection vs. full-thickness resection device with Over-The-Scope Clip® System

Bisogni, Damiano; Manetti, Roberto; Talamucci, Luca; Coratti, Francesco; Naspetti, Riccardo; Valeri, Andrea; Martellucci, Jacopo; Cianchi, Fabio

doi:10.23736/s0026-4733.20.08298-x

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…After omitting one study at a time and recalculating the values, the sensitivity analysis results suggest that the overall estimate of the difference in procedure length ranges between -9.76 min and 1.17 min ( ). Exclusion of Bisogni et al [ 22 ] and Kim et al [ 24 ] changed the direction of the association from a non-significant to a significant one. This indicates that those studies had a strong influence on the overall effect.…”

Section: Resultsmentioning

confidence: 99%

Endoscopic submucosal dissection vs transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis

Huang,

Zhong

2024

World J Clin Cases

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BACKGROUND Endoscopic submucosal dissection (ESD) and transanal endoscopic submucosal dissection (TES) are widely employed surgical techniques. However, the comparative efficacy and safety of both remain inconclusive. AIM To comprehensively analyze and discern differences in surgical outcomes between ESD and TES. METHODS We conducted a systematic search of the electronic databases PubMed, Embase, Cochrane Central Register of Controlled Trials, Scopus, and CINAHL from inception till August 2023. We analyzed outcomes including recurrence rate, en bloc resection, R0 resection rate, perforation rate, procedure length, and hospital stay length applying a random-effects inverse-variance model. We assessed publication bias by conducting an Egger’s regression test and sensitivity analyses. RESULTS We pooled data from 11 studies involving 1013 participants. We found similar recurrence rates, with a pooled odds ratio of 0.545 (95%CI: 0.176-1.687). En bloc resection, R0 resection, and perforation rate values were also similar for both ESD and TES. The pooled analysis for procedure length indicated a mean difference of -4.19 min (95%CI: -22.73 to 14.35), and the hospital stay was on average shorter for ESDs by about 0.789 days (95%CI: -1.671 to 0.093). CONCLUSION Both ESD and TES displayed similar efficacy and safety profiles across multiple outcomes. Our findings show that individualized patient and surgeon preferences, alongside specific clinical contexts, can be considered when selecting between these two techniques.

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Section: Resultsmentioning

confidence: 99%

Endoscopic submucosal dissection vs transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis

Huang,

Zhong

2024

World J Clin Cases

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“…The initial resection attempt was complicated by massive spurting bleeding, which was controlled by adrenaline injection and the application of eight hemoclips. During the next colonoscopy, we observed adenomatous tissue with significant fibrosis and decided to perform endoscopic full-thickness resection (EFTR) with a “close and cut” technique using a 14/6 t over-the-scope (OTS) clip (Ovesco Endoscopy AG, Tübingen, Germany) 1 2 . This resection was performed without any complications and the patient was discharged after 24 hours.…”

Section: Endoscopy E-videosmentioning

confidence: 99%

Removal of an over-the-scope clip using the over-the-scope clip-removal system before performing polypectomy of the recurrent polyp

et al. 2022

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We present the case of a 64-year-old woman with no significant past medical history who was found during a screening colonoscopy to have a 45-mm sessile polyp at the hepatic angle. The initial resection attempt was complicated by massive spurting bleeding, which was controlled by adrenaline injection and the application of eight hemoclips. During the next colonoscopy, we observed adenomatous tissue with significant fibrosis and decided to perform endoscopic full-thickness resection (EFTR) with a "close and cut" technique using a 14/6 t over-the-scope (OTS) clip (Ovesco Endoscopy AG, Tübingen, Germany) [1, 2]. This resection was performed without any complications and the patient was discharged after 24 hours.

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COVID-19 and surgery

DEZZANI¹

2022

Chirurgia

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Comparison among different techniques for en-bloc resection of rectal lesions: transanal endoscopic surgery vs. endoscopic submucosal dissection vs. full-thickness resection device with Over-The-Scope Clip® System

Cited by 3 publications

References 21 publications

Endoscopic submucosal dissection vs transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis

Endoscopic submucosal dissection vs transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis

Removal of an over-the-scope clip using the over-the-scope clip-removal system before performing polypectomy of the recurrent polyp

COVID-19 and surgery

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