Endoscopic Ultrasound Guided Colorectal ESD and Traditional Colorectal ESD Surgery
A Prospective Randomized Controlled Study Protocol Between Endoscopic Ultrasound Guided Colorectal ESD and Traditional Colorectal ESD Surgery
Jilin University
54 participants
Mar 26, 2024
INTERVENTIONAL
Conditions
Summary
A prospective randomized controlled study protocol between endoscopic ultrasound guided colorectal ESD and traditional colorectal ESD surgery
Eligibility
Inclusion Criteria2
- Cases in our hospital who require colorectal ESD surgery
- Colorectal lesions（laterally spreading tumor）.
Exclusion Criteria2
- Laterally spreading tumor but not nodular mixed type(LST-G-M)
- Patients who have participated or are currently participating in other clinical trials within the first 4 weeks of enrollment;
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Interventions
The experimental group first underwent endoscopic ultrasound examination, with a small ultrasound probe inserted into the intestinal cavity through the biopsy port. After water injection, the lesion was scanned and (1) the direction of gravity was determined. (2) fibrosis/infiltration under the mucosa, and the fibrosis was divided into F0 (no fibrosis), F1 (cold fibrosis), or F2 (severe fibrosis). (3) The lesion was divided into nine compartments. Mark submucosal fibrosis/infiltration sites, according to nine compartments. (4) Based on the results of endoscopic ultrasound scanning of the lesion, the surgeon draw up surgical approach and perform injection and dissection.
The control group underwent injection and dissection directly.
Locations(1)
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NCT06076382