Technische Aspekte bei der endoskopischen Submukosa-Dissektion (ESD)

Zusammenfassung

In den vergangenen Jahren hat die endoskopische Submukosa-Dissektion auch in Europa als neues Verfahren der „En-bloc“-Resektion flächiger Lä­sionen im Gastrointestinaltrakt sich an verschiedenen Zentren etablieren können. Leider existieren bisher keine wirklichen Standards in Bezug auf Instrumente und Geräteeinstellungen. In diesem Artikel geben wir hierzu eine kurze Übersicht und eigene Erfahrungen der letzten Jahre weiter.

Abstract

Within the last years endoscopic submucosal ­dissection (ESD) has established its role for the “en bloc” resection of even large mucosal precancerous or early cancerous lesions. However, there is little literature concerning devices and settings used for successful ESD. In the following article we give an overview on technical requirements and report on our own ­experiences over the last years.

Schlüsselwörter

endoskopische Submukosa-Dissektion - endoskopische Mukosa­resektion - Elektrochirurgie - interventionelle Endoskopie - minimalinvasiv

Key words

endoscopic submucosal ­dissection - endoscopic mucosal ­resection - electrosurgery - interventional ­endoscopy - minimal-invasive

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