SSAT - EXTERNAL DYNAMIC TRACTION FOR ENDOLUMINAL RESECTION OF AN ASCENDING COLON LESION

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EXTERNAL DYNAMIC TRACTION FOR ENDOLUMINAL RESECTION OF AN ASCENDING COLON LESION
Attila Ulkucu^*, Mariano Laporte, Kamil Erozkan, Emre Gorgun
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

Endoscopic Submucosal Dissection (ESD) offers several advantages in removing large, complex colon lesions. However, ESD is technically demanding and time-consuming due to insufficient endoluminal ability for traction-countertraction. Here we present an endoluminal procedure in a 55-year-old male with a 70 mm laterally spreading tumor in the ascending colon where we performed traction-assisted ESD facilitated by an external dynamic traction platform. The dissection was completed in 49 minutes without complication. The external dynamic traction platform can improve traction-countertraction and may decrease procedure time. Further studies are needed to evaluate efficiency and facility.

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