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With the digestive endoscopic tunnel technique (DETT), many diseases that previously would have been treated by surgery are now endoscopically curable by establishing a submucosal tunnel between the mucosa and muscularis propria (MP). Through the tunnel, endoscopic diagnosis or treatment is performed for lesions in the mucosa, in the MP, and even outside the gastrointestinal (GI) tract. At present, the tunnel technique application range covers the following: (1) Treatment of lesions originating from the mucosal layer, ., endoscopic submucosal tunnel dissection for oesophageal large or circular early-stage cancer or precancerosis; (2) treatment of lesions from the MP layer, per-oral endoscopic myotomy, submucosal tunnelling endoscopic resection, .; and (3) diagnosis and treatment of lesions outside the GI tract, such as resection of lymph nodes and benign tumour excision in the mediastinum or abdominal cavity. With the increasing number of DETTs performed worldwide, endoscopic tunnel therapeutics, which is based on DETT, has been gradually developed and optimized. However, there is not yet an expert consensus on DETT to regulate its indications, contraindications, surgical procedure, and postoperative treatment. The International DETT Alliance signed up this consensus to standardize the procedures of DETT. In this consensus, we describe the definition, mechanism, and significance of DETT, prevention of infection and concepts of DETT-associated complications, methods to establish a submucosal tunnel, and application of DETT for lesions in the mucosa, in the MP and outside the GI tract (indications and contraindications, procedures, pre- and postoperative treatments, effectiveness, complications and treatments, and a comparison between DETT and other operations).
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http://dx.doi.org/10.3748/wjg.v25.i7.744 | DOI Listing |
Khirurgiia (Mosk)
December 2024
Loginov Moscow Clinical Scientific Center, Moscow, Russia.
Objective: To assess the long-term outcomes after endoscopic treatment of patients with Zenker's diverticulum.
Material And Methods: A single-center retrospective study included 207 patients with Zenker's diverticulum who underwent surgery between July 2014 and November 2021. There were 213 interventions including surgeries for recurrence.
Arthrosc Tech
November 2024
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China.
The flexor hallucis longus tendon is susceptible to impingement, longitudinal tears, or ruptures throughout the whole course of the tendon. The most frequently affected site is the fibro-osseous tunnel from posterior talus to under the sustentculum tali, followed by the master knot of Henry and intersesamoid ligament. The purpose of this Technical Note is to describe the details of endoscopic resection of a sustentaculum tali bone spur that entraps the flexor hallucis longus tendon.
View Article and Find Full Text PDFBMC Surg
December 2024
Department of Thoracic Surgery, The First Affiliated Hospital With Nanjing Medical University, Nanjing, 210029, People's Republic of China.
Background: Thoracoscopic segmentectomy is the main surgical method for the treatment of earlylung cancer. With the promotion of technology and increasingly accurate criteria for lung subsegments, lung nodules with complex positions involving intersegmental and multisegments have become technical bottlenecks. This study aimed to verify whether seeking anatomical conditions for creating a fissure by tunneling techniques with precise resection of lung segments could solve this bottleneck problem.
View Article and Find Full Text PDFArch Orthop Trauma Surg
December 2024
Hand Surgery, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Germany.
Introduction: The endoscopic assisted release for cubital tunnel syndrome (CuTS) gained popularity in recent years with unclear long-term results. This study aims to evaluate long term results regarding functional and subjective outcomes after endoscopic assisted release for the CuTS.
Materials And Methods: Thirty one patients who have been treated by endoscopic assisted release for CuTS between 2006 and 2013 were followed up both clinically and with a questionnaire with a mean follow up of 152 months (range 120-204 months).
J Hand Surg Glob Online
November 2024
Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA.
Purpose: Compressive neuropathies such as carpal tunnel and cubital tunnel syndrome can lead to sensation loss, muscle weakness, joint contractures, and disrupted sleep. The interplay between these conditions and the effect on patients' intimacy is unknown. The purpose of this study was to examine sexual function before and after surgery in patients undergoing carpal tunnel release or cubital tunnel release.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!