Effectiveness of a novel traction device (TRACMOTION) for endoscopic submucosal dissection using a scissor‐type knife: An animal pilot study and clinical experiences
2025

Effectiveness of TRACMOTION for Endoscopic Submucosal Dissection

Sample size: 5 publication Evidence: moderate

Author Information

Author(s): Yuko Miura, Yosuke Tsuji, Ryohei Miyata, Ayano Fujisawa, Hiroyuki Tsukihara, Mitsuhiro Fujishiro

Primary Institution: The University of Tokyo

Hypothesis

The study evaluates the optimal use, efficacy, and safety of the TRACMOTION traction device for endoscopic submucosal dissection (ESD) in both animal and human subjects.

Conclusion

The study demonstrated that ESD using the TRACMOTION device is safe and effective, although it may not be suitable for all lesion types.

Supporting Evidence

  • T‐ESD was faster than C‐ESD on the posterior wall.
  • No intraoperative perforations occurred during the study.
  • All cases achieved en bloc and R0 resections.

Takeaway

Researchers tested a new tool called TRACMOTION to help doctors remove tumors from the stomach and found it works well, but it might not be the best for every type of tumor.

Methodology

The study involved animal experiments with swine and clinical experiences with human patients to compare traction-assisted ESD using TRACMOTION with conventional ESD.

Potential Biases

The study may have bias due to the small number of cases and the specific conditions under which the experiments were conducted.

Limitations

The study had a small sample size and differences in knife types used for ESD, which may affect the comparison of results.

Participant Demographics

The human participants included three patients with rectal tumors, aged 57 to 77, with varying tumor sizes.

Digital Object Identifier (DOI)

10.1002/deo2.70052

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