{"title":"How to adopt endoluminal surgery in a new colorectal surgery practice and endoluminal management of T1 colon cancers","authors":"Bradford Sklow MD","doi":"10.1016/j.scrs.2024.101024","DOIUrl":null,"url":null,"abstract":"<div><p>Endoluminal surgery in colorectal surgery involves the removal of polyps/lesions using advanced colonoscopic techniques such as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Prior to the adoption of these techniques in a new colorectal surgery practice, a colorectal surgeon should have some mastery of basic colonoscopy skills along with colonoscopic polypectomy. There are a variety of training options to learn endoluminal surgery including industry and institutional based courses, observation of a master endoscopist, or observational experience in Japan. Adoption of these techniques in a new practice is facilitated by knowledge of what equipment is required and the availability of trained staff. Endoluminal management of T1 colon cancers is an acceptable method of treatment and an alternative to surgical resection provided that the proper parameters are met.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101024"},"PeriodicalIF":0.4000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Colon and Rectal Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S104314892400023X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Endoluminal surgery in colorectal surgery involves the removal of polyps/lesions using advanced colonoscopic techniques such as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Prior to the adoption of these techniques in a new colorectal surgery practice, a colorectal surgeon should have some mastery of basic colonoscopy skills along with colonoscopic polypectomy. There are a variety of training options to learn endoluminal surgery including industry and institutional based courses, observation of a master endoscopist, or observational experience in Japan. Adoption of these techniques in a new practice is facilitated by knowledge of what equipment is required and the availability of trained staff. Endoluminal management of T1 colon cancers is an acceptable method of treatment and an alternative to surgical resection provided that the proper parameters are met.
期刊介绍：
Seminars in Colon and Rectal Surgery offers a comprehensive and coordinated review of a single, timely topic related to the diagnosis and treatment of proctologic diseases. Each issue is an organized compendium of practical information that serves as a lasting reference for colorectal surgeons, general surgeons, surgeons in training and their colleagues in medicine with an interest in colorectal disorders.
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