An interventional study of endoscopic ultrasound guided colorectal ESD surgery and the traditional colorectal ESD surgery in Colorectal Endoscopic Submucosal Dissection(ESD) Surgery, sponsored by Jilin University. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-04-12.
Sponsored by Jilin University · Not applicable, Interventional, and Treatment
A prospective randomized controlled study protocol between endoscopic ultrasound guided colorectal ESD and traditional colorectal ESD surgery
This study compare and analyze the efficiency of endoscopic ultrasound guided colorectal ESD surgery with traditional colorectal ESD surgery, in order to guide colorectal ESD operations.
Jilin University is the lead sponsor of 26 studies on the registry; 12 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
The experimental group first underwent endoscopic ultrasound examination, with a small ultrasound probe inserted into the intestinal cavity through the biopsy port. Then undergo the colorectal ESD surgery.
Procedure: endoscopic ultrasound guided colorectal ESD surgery
the traditional colorectal ESD surgery
Procedure: the traditional colorectal ESD surgery
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.
operating time
from the injection to the end of dissection (minutes)
Time frame: During surgery
Measure the area of the lesion
Measure the length and diameter of the lesion
Time frame: During surgery
Number of propria muscle layer injuries during surgery
record the points of propria muscle layer injuries during surgery
Time frame: During surgery
Time to first fluid diet
Postoperative recovery: record the first time of fluid diet
Time frame: one week after surgery
Complete resection rate
record the number of complete resection cases
Time frame: 1 year
Plan to share: No
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Jilin University