title: Evaluation of a new multitasking platform for endoscopic full-thickness resection.
abstract: BACKGROUND
  The advent of natural orifice transluminal endoscopic surgery (NOTES) has accelerated the development of new technology in the field of GI endoscopy. Various suturing devices or multitasking platforms are expected to be valuable for endoluminal surgery as well as for NOTES.
  
  
  OBJECTIVE
  To evaluate a new multitasking platform in performing endoscopic full-thickness resection (EFTR).
  
  
  METHODS
  Bench-top comparison study.
  
  
  METHODS
  Research laboratory study of 10 ex vivo porcine models.
  
  
  METHODS
  Ten EFTRs (5 with a double-channel endoscope vs 5 with a new multitasking platform) assisted with percutaneous gastric lifting. Each group was given the task of resecting a full-thickness specimen of the gastric wall including a pseudolesion 10 mm in diameter with an effective margin.
  
  
  METHODS
  Outcome measurements included time to perform the procedure, accuracy of the resection, and efficiency for the task. Accuracy was assessed according to variability of the surgical margin and misalignment between the mucosal layer and the seromuscular layer. Efficiency was assessed according to the duty ratio, which is the percentage of time spent for the main purposes compared with the total procedure time.
  
  
  RESULTS
  Mean diameter of the specimen was not significantly different between the groups. All other assessment items were significantly superior in group B to those in group A (P < .05).
  
  
  CONCLUSIONS
  Ex vivo animal model study.
  
  
  CONCLUSIONS
  We were able to perform EFTR procedures precisely and effectively by using a new multitasking platform compared with use of a conventional endoscope in a porcine model. A multitasking platform developed for NOTES procedures would be useful for advanced endoluminal surgery such as endoscopic submucosal dissection or EFTR as well as NOTES.
authors.affiliation: Department of Endoscopy, Jikei University School of Medicine, Tokyo, Japan. endosc-ikeda@jikei.ac.jp
authors.forename: Keiichi
authors.initials: K
authors.lastname: Ikeda
authors.forename: Kazuki
authors.initials: K
authors.lastname: Sumiyama
authors.forename: Hisao
authors.initials: H
authors.lastname: Tajiri
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yasuda
authors.forename: Seigo
authors.initials: S
authors.lastname: Kitano
mesh_terms: D000818:Animals; D005753:Gastric Mucosa / Q000601:surgery*; D020699:Gastroscopes; D005773:Gastroscopy / Q000295:instrumentation*; D018709:Statistics, Nonparametric; D013270:Stomach / Q000601:surgery*; D013552:Swine; D013996:Time and Motion Studies