Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study Article Swipe
Tatsuo Yachida
,
Hideki Kobara
,
Kazuhiro Kozuka
,
Kaho Nakatani
,
Naoya TADA
,
Takanori Matsui
,
Taiga Chiyo
,
Nobuya Kobayashi
,
Shintaro Fujihara
,
Noriko Nishiyama
,
Akihiro Kondo
,
Yasuhisa Ando
,
Keiichi Okano
,
Wakako Nonaka
,
Kaori Ishikawa
,
Hisashi Masugata
,
Tsutomu Masaki
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12062329
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12062329
Background and Aim: To evaluate the efficacy and safety of a grasping-type knife, called Clutch Cutter (CC), for colorectal endoscopic submucosal dissection (C-ESD). Methods: This was a randomized prospective study. Patients who underwent C-ESD for colorectal neoplasms >20 mm and <50 mm in size were enrolled, dividing into two groups: ESD using needle type of dual knife alone (D-group) and circumferential incision using dual knife followed by submucosal dissection using CC (CC-group). The primary outcome was the self-completion rate. The secondary outcomes were intraoperative complication rate, procedure time, and en bloc resection rate. Results: A total of 45 patients were allocated to the D-group and 43 to the CC-group were allocated. The self-completion rate was higher in the CC-group (87% [39/45] vs. 98% [42/43]). All of the six patients with an incomplete procedure in the D-group were completely resected with CC use. The intraoperative complication rate was not significant in either group (D vs. CC: 2% vs. 0%). The mean procedure time was significantly shorter in the D-group than that in the CC-group (62.0 vs. 81.1 min; p = 0.0036). The en bloc resection rate was 100% in the D-group and 98% in the CC-group. Conclusions: While dual knife use is superior to CC in terms of time efficiency, the use of CC may be a safe and efficacious option for achieving complete C-ESD.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm12062329
- https://www.mdpi.com/2077-0383/12/6/2329/pdf?version=1679015220
- OA Status
- gold
- Cited By
- 5
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4327699097
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4327699097Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm12062329Digital Object Identifier
- Title
-
Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized StudyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-03-16Full publication date if available
- Authors
-
Tatsuo Yachida, Hideki Kobara, Kazuhiro Kozuka, Kaho Nakatani, Naoya TADA, Takanori Matsui, Taiga Chiyo, Nobuya Kobayashi, Shintaro Fujihara, Noriko Nishiyama, Akihiro Kondo, Yasuhisa Ando, Keiichi Okano, Wakako Nonaka, Kaori Ishikawa, Hisashi Masugata, Tsutomu MasakiList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm12062329Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/12/6/2329/pdf?version=1679015220Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/12/6/2329/pdf?version=1679015220Direct OA link when available
- Concepts
-
Medicine, Endoscopic submucosal dissection, Forceps, Surgery, Dissection (medical), Randomized controlled trial, Colonoscopy, Colorectal cancer, Internal medicine, CancerTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
- Citations by year (recent)
-
2024: 5Per-year citation counts (last 5 years)
- References (count)
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27Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.Background | 0 |
| abstract_inverted_index.allocated. | 110 |
| abstract_inverted_index.colorectal | 18, 35 |
| abstract_inverted_index.completely | 137 |
| abstract_inverted_index.dissection | 21, 68 |
| abstract_inverted_index.endoscopic | 19 |
| abstract_inverted_index.incomplete | 131 |
| abstract_inverted_index.randomized | 27 |
| abstract_inverted_index.submucosal | 20, 67 |
| abstract_inverted_index.(CC-group). | 71 |
| abstract_inverted_index.efficacious | 218 |
| abstract_inverted_index.efficiency, | 208 |
| abstract_inverted_index.prospective | 28 |
| abstract_inverted_index.significant | 148 |
| abstract_inverted_index.Conclusions: | 195 |
| abstract_inverted_index.complication | 84, 144 |
| abstract_inverted_index.grasping-type | 11 |
| abstract_inverted_index.significantly | 163 |
| abstract_inverted_index.intraoperative | 83, 143 |
| abstract_inverted_index.circumferential | 60 |
| abstract_inverted_index.self-completion | 77, 112 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 97 |
| corresponding_author_ids | https://openalex.org/A5000316211 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 17 |
| corresponding_institution_ids | https://openalex.org/I201933988 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.6399999856948853 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.83200606 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |