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A modified exposed endoscopic full‐thickness resection: Traction‐assisted resection while defect closing by Nan Ru; Long Song Li; Ya Wei Bi; Fei Gao; Bo Zhang; Ning Li Chai; En Qiang Linghu is a Medicine article available to read on EtoBox.

What is A modified exposed endoscopic full‐thickness resection: Traction‐assisted resection while defect closing about?

## Objectives Exposed endoscopic full-thickness resection (Eo-EFTR) has proven effective and economical for patients with gastric submucosal tumors (SMTs), showing great prospects. However, the poor operative field of view, the risk of tumors falling into the peritoneal cavity, especially the difficulties in defect closure, have limited its widespread application. Herein, we described a modified traction-assisted Eo-EFTR technique aimed at simplifying both the dissection and defect closure procedures. ## Methods Nineteen patients who underwent the modified Eo-EFTR for gastric SMTs in the Chinese People's Liberation Army General Hospital were enrolled in the study. Following a 2/3 circumferential full-thickness incision, a clip with dental floss was anchored to the resected part of the tumor surface. With the dental floss traction, the gastric defect was reshaped into a V shape, which facilitated the deployment of clips to close the defect. The defect closure and tumor dissection procedures were then performed alternately. Patients’ demographics, tumor characteristics, and therapeutic outcomes were evaluated retrospectively. ## Results All tumors had an R0 resection. The median proc

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Author

Nan Ru; Long Song Li; Ya Wei Bi; Fei Gao; Bo Zhang; Ning Li Chai; En Qiang Linghu

Publisher

Wiley

Published

2023

Language

EN

Field

Medicine (Health Sciences)