Klaus Metter et al. Endoscopic submucosal resection: a technique using novel devices
for incision and resection of neoplastic lesions
In this case series, a new hybrid technique of endoscopic mucosal resection and endoscopic
submucosal dissection for lesions of 20–40 mm was evaluated. This technique uses novel
instruments for circumferential mucosal incision and deep submucosal resection, and
allows resection close to the muscularis propria leading to better preservation of
the submucosal layer for pathological analysis. Results showed a low morbidity and
a relatively high R0 resection rate, but further comparative studies are needed.