title: Endoscopic submucosal dissection for large laterally spreading tumors involving the ileocecal valve and terminal ileum.
abstract: Endoscopic submucosal dissection is a challenging technique that enables en-bloc resection for large colorectal tumors, as laterally spreading tumors, particularly difficult, if the ileocecal valve and terminal ileum is involved. Herein, we report on one of 4 cases. The procedures, using a bipolar needle knife (B-Knife) to reduce the perforation risk and carbon dioxide instead of conventional air insufflation for patient comfort, achieved curative resections without any complications.
authors.affiliation: Endoscopy Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Kishimoto
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Saito
authors.forename: Hajime
authors.initials: H
authors.lastname: Takisawa
authors.forename: Haruhisa
authors.initials: H
authors.lastname: Suzuki
authors.forename: Taku
authors.initials: T
authors.lastname: Sakamoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nakajima
authors.forename: Takahisa
authors.initials: T
authors.lastname: Matsuda
mesh_terms: D000368:Aged; D015179:Colorectal Neoplasms / Q000473:pathology* / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D004210:Dissection / Q000295:instrumentation / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007080:Ileocecal Valve / Q000473:pathology* / Q000601:surgery; D007082:Ileum / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome