Abstract
Endoscopic submucosal dissection (ESD) was developed to eliminate the technical limitation of resectable specimen size as a single piece from endoscopic resection (ER). A series of studies mostly from East Asia have demonstrated that ESD has greatly improved the resectability of early GI neoplasms by ER. In order to facilitate the procedure, an array of needle knives specifically designed for ESD have been developed, as well as high-tech electrosurgical generators that provide an array of current options that automatically modulate cutting and coagulating currents corresponding to tissue resistance. The procedure has been rapidly sophisticated in synchronization with instrument developments, and the challenges associated with ESD have been overcome with a multidisciplinary approach.
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Sumiyama, K., Tajiri, H. (2015). History of ESD. In: Fukami, N. (eds) Endoscopic Submucosal Dissection. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2041-9_1
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DOI: https://doi.org/10.1007/978-1-4939-2041-9_1
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