Skip to main content
Top
Published in:

05-07-2024 | Original Article

Efficacy of Two Kinds of Scissor-Type Knives for Colorectal Endoscopic Submucosal Dissection: A Retrospective Comparative Study

Authors: Jianhua Shen, Naohisa Yoshida, Reo Kobayashi, Ken Inoue, Ryohei Hirose, Osamu Dohi, Hideyuki Konishi, Yuri Tomita, Yoshito Itoh

Published in: Digestive Diseases and Sciences | Issue 11/2024

Login to get access

Abstract

Introduction

Scissor-type knives are spreading as safe devises in endoscopic submucosal dissection (ESD). We evaluated the efficacy of two kinds of scissor-type knives (Clutch Cutter: CC, Fujifilm Co. and SB Knife Jr2: SB, SB-KAWASUMI Laboratories. Inc.) in colorectal ESD.

Methods

This single-center retrospective study analyzed 178 ESD cases treated with CC from January 2020 to August 2021 and 91 cases with SB from September 2021 to December 2023. The two groups were compared through propensity score matching. Therapeutic results, such as ESD procedure time, en bloc resection rate, perioperative bleeding frequency, and complications, were analyzed in each group. Risk factors for long ESD procedure time (≥ 90 min) were also examined.

Results

After matching, 87 cases in each group were analyzed. There was no significant difference in the ESD procedure time (min, median [interquartile range]) between the CC and SB groups (54.0 [36.0–72.0] vs. 53.0 [39.0–72.0], p = 0.99). Additionally, there were no differences in the en bloc resection (100% vs. 100%, p = 1.00), perioperative perforation (1.1% vs. 1.1%, p = 1.00), or delayed bleeding (1.1% vs. 0.0%, p = 1.00). There was a significant difference in perioperative bleeding frequency (mean ± standard deviation: 1.8 ± 2.6 vs. 3.0 ± 3.5, p < 0.01). The significant risk factors (odds ratio [95% confidence interval]) for long ESD procedure time in patients treated with CC or SB were antiplatelet (7.51 [1.82–31.00]), large lesion size (1.08 [1.05–1.12]), severe fibrosis (24.30 [7.60–77.90]), and perioperative bleeding frequency (1.34 [1.14–1.56]).

Conclusions

CC and SB in colorectal ESD enabled high en bloc resection and low complication rates. CC showed significantly less perioperative bleeding than SB.
Literature
1.
go back to reference Bray F, Ferlay J, Soerjomataram I et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394–424.CrossRefPubMed Bray F, Ferlay J, Soerjomataram I et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394–424.CrossRefPubMed
2.
go back to reference Draganov PV, Wang AY, Othman MO et al. AGA Institute Clinical Practice Update: Endoscopic Submucosal Dissection in the United States. Clin Gastroenterol Hepatol. 2019;17:16-25.e1.CrossRefPubMed Draganov PV, Wang AY, Othman MO et al. AGA Institute Clinical Practice Update: Endoscopic Submucosal Dissection in the United States. Clin Gastroenterol Hepatol. 2019;17:16-25.e1.CrossRefPubMed
3.
go back to reference Pimentel-Nunes P, Libânio D, Bastiaansen BAJ et al. Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy. 2022;54:591–622.CrossRefPubMed Pimentel-Nunes P, Libânio D, Bastiaansen BAJ et al. Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy. 2022;54:591–622.CrossRefPubMed
4.
go back to reference Kobayashi N, Takeuchi Y, Ohata K et al. Outcomes of endoscopic submucosal dissection for colorectal neoplasms: Prospective, multicenter, cohort trial. Dig Endosc. 2022;34:1042–1051.CrossRefPubMed Kobayashi N, Takeuchi Y, Ohata K et al. Outcomes of endoscopic submucosal dissection for colorectal neoplasms: Prospective, multicenter, cohort trial. Dig Endosc. 2022;34:1042–1051.CrossRefPubMed
5.
go back to reference Takezawa T, Hayashi Y, Shinozaki S et al. The pocket-creation method facilitates colonic endoscopic submucosal dissection (with video). Gastrointest Endosc. 2019;89:1045–1053.CrossRefPubMed Takezawa T, Hayashi Y, Shinozaki S et al. The pocket-creation method facilitates colonic endoscopic submucosal dissection (with video). Gastrointest Endosc. 2019;89:1045–1053.CrossRefPubMed
6.
go back to reference Ritsuno H, Sakamoto N, Osada T et al. Prospective clinical trial of traction device-assisted endoscopic submucosal dissection of large superfcial colorectal tumors using the S-O clip. Surg Endosc. 2014;28:3143–3149.CrossRefPubMed Ritsuno H, Sakamoto N, Osada T et al. Prospective clinical trial of traction device-assisted endoscopic submucosal dissection of large superfcial colorectal tumors using the S-O clip. Surg Endosc. 2014;28:3143–3149.CrossRefPubMed
7.
go back to reference Yamamoto K, Michida T, Nishida T et al. Colorectal endoscopic submucosal dissection: recent technical advances for safe and successful procedures. World J Gastrointest Endosc. 2015;7:1114–1128.CrossRefPubMedPubMedCentral Yamamoto K, Michida T, Nishida T et al. Colorectal endoscopic submucosal dissection: recent technical advances for safe and successful procedures. World J Gastrointest Endosc. 2015;7:1114–1128.CrossRefPubMedPubMedCentral
8.
go back to reference Yoshii S, Yamano HO, Nakase H. Novel injectable needle-type knife, ProKnife for colorectal endoscopic submucosal dissection. Dig Endosc. 2021;33:e137–e139.PubMed Yoshii S, Yamano HO, Nakase H. Novel injectable needle-type knife, ProKnife for colorectal endoscopic submucosal dissection. Dig Endosc. 2021;33:e137–e139.PubMed
9.
go back to reference Ohara Y, Toyonaga T, Hoshi N et al. Usefulness of a novel slim type FlushKnife-BT over conventional FlushKnife-BT in esophageal endoscopic submucosal dissection. World J Gastroenterol. 2017;23:1657–1665.CrossRefPubMedPubMedCentral Ohara Y, Toyonaga T, Hoshi N et al. Usefulness of a novel slim type FlushKnife-BT over conventional FlushKnife-BT in esophageal endoscopic submucosal dissection. World J Gastroenterol. 2017;23:1657–1665.CrossRefPubMedPubMedCentral
10.
go back to reference Yoshida N, Dohi O, Inoue K et al. Efficacy of scissor-type knives for endoscopic mucosal dissection of superficial gastrointestinal neoplasms. Dig Endosc. 2020;32:4–15.CrossRefPubMed Yoshida N, Dohi O, Inoue K et al. Efficacy of scissor-type knives for endoscopic mucosal dissection of superficial gastrointestinal neoplasms. Dig Endosc. 2020;32:4–15.CrossRefPubMed
11.
go back to reference Kuwai T, Oka S, Kamigaichi Y et al. Efficacy and safety comparison of scissor-type knives with needle-type knives for colorectal endoscopic submucosal dissection: a post-hoc propensity score–matched analysis (with videos). Gastrointest Endosc. 2022;96:108–117.CrossRefPubMed Kuwai T, Oka S, Kamigaichi Y et al. Efficacy and safety comparison of scissor-type knives with needle-type knives for colorectal endoscopic submucosal dissection: a post-hoc propensity score–matched analysis (with videos). Gastrointest Endosc. 2022;96:108–117.CrossRefPubMed
12.
go back to reference Esaki M, Hayashi Y, Ikehara H, et al. The effect of scissor-type versus non-scissor-type knives on the technical outcomes in endoscopic submucosal dissection for superficial esophageal cancer: a multi-center retrospective study. Dis Esophagus. 2020; 33: doz077. Esaki M, Hayashi Y, Ikehara H, et al. The effect of scissor-type versus non-scissor-type knives on the technical outcomes in endoscopic submucosal dissection for superficial esophageal cancer: a multi-center retrospective study. Dis Esophagus. 2020; 33: doz077.
13.
go back to reference Seya M, Dohi O, Iwai N et al. Short- and long-term outcomes of endoscopic submucosal dissection and laparoscopic and endoscopic cooperative surgery for superficial non-ampullary duodenal epithelial tumors. Surg Endosc. 2024;38:1784–1790.CrossRefPubMed Seya M, Dohi O, Iwai N et al. Short- and long-term outcomes of endoscopic submucosal dissection and laparoscopic and endoscopic cooperative surgery for superficial non-ampullary duodenal epithelial tumors. Surg Endosc. 2024;38:1784–1790.CrossRefPubMed
14.
go back to reference Tanaka S, Kashida H, Saito Y et al. Japan Gastroenterological Endoscopy Society guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection. Dig Endosc. 2020;32:219–239.CrossRefPubMed Tanaka S, Kashida H, Saito Y et al. Japan Gastroenterological Endoscopy Society guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection. Dig Endosc. 2020;32:219–239.CrossRefPubMed
15.
go back to reference Inoue K, Yoshida N, Dohi O et al. Effects of the combined use of a scissor-type knife and traction clip on endoscopic submucosal dissection for colorectal tumors: a propensity score-matched analysis. Endosc Int Open. 2021;9:E1617–E1626.CrossRefPubMedPubMedCentral Inoue K, Yoshida N, Dohi O et al. Effects of the combined use of a scissor-type knife and traction clip on endoscopic submucosal dissection for colorectal tumors: a propensity score-matched analysis. Endosc Int Open. 2021;9:E1617–E1626.CrossRefPubMedPubMedCentral
16.
go back to reference Participants in the Paris workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc. 2003;58:S3-43.CrossRef Participants in the Paris workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc. 2003;58:S3-43.CrossRef
17.
go back to reference Hamilton SR, Aaltonen LA, editors. World Health Organization classification of tumors. Pathology and genetics of tumours of the digestive system. Lyon, France: IARC Press, 2010; 104–109. Hamilton SR, Aaltonen LA, editors. World Health Organization classification of tumors. Pathology and genetics of tumours of the digestive system. Lyon, France: IARC Press, 2010; 104–109.
19.
go back to reference Yoshida N, Inagaki Y, Hasegawa D et al. The Efficacy of 480ml Oral Sodium Sulfate for Improving Insufficient Bowel Preparation of Colonoscopy with High-Concentrated Polyethylene Glycol. Gastroenterol Res Pract. 2023;2023:6359165.CrossRefPubMedPubMedCentral Yoshida N, Inagaki Y, Hasegawa D et al. The Efficacy of 480ml Oral Sodium Sulfate for Improving Insufficient Bowel Preparation of Colonoscopy with High-Concentrated Polyethylene Glycol. Gastroenterol Res Pract. 2023;2023:6359165.CrossRefPubMedPubMedCentral
20.
go back to reference Akahoshi K, Akahane H, Murata A et al. Endoscopic submucosal dissection using a novel grasping type scissors forceps. Endoscopy. 2007;39:1103–1105.CrossRefPubMed Akahoshi K, Akahane H, Murata A et al. Endoscopic submucosal dissection using a novel grasping type scissors forceps. Endoscopy. 2007;39:1103–1105.CrossRefPubMed
21.
go back to reference Rath T, Siebler J, Neurath MF et al. Treatment of Zenker’s diverticulum using a novel grasping-type scissors forceps allows fast, safe, and effective endoscopic diverticulotomy. Endosc Int Open. 2018;6:E659–E663.CrossRefPubMedPubMedCentral Rath T, Siebler J, Neurath MF et al. Treatment of Zenker’s diverticulum using a novel grasping-type scissors forceps allows fast, safe, and effective endoscopic diverticulotomy. Endosc Int Open. 2018;6:E659–E663.CrossRefPubMedPubMedCentral
22.
go back to reference Tomita Y, Yoshida N, Inoue K et al. The usefulness of combining the pocket-creation method with a traction device using a scissor-type knife for colorectal endoscopic submucosal dissection. Indian Journal of Gastroenterology. 2022;41:149–159.CrossRefPubMed Tomita Y, Yoshida N, Inoue K et al. The usefulness of combining the pocket-creation method with a traction device using a scissor-type knife for colorectal endoscopic submucosal dissection. Indian Journal of Gastroenterology. 2022;41:149–159.CrossRefPubMed
23.
go back to reference Honma K, Kobayashi M, Watanabe H et al. Endoscopic submucosal dissection for colorectal neoplasia. Dig Endosc. 2010;22:307–311.CrossRefPubMed Honma K, Kobayashi M, Watanabe H et al. Endoscopic submucosal dissection for colorectal neoplasia. Dig Endosc. 2010;22:307–311.CrossRefPubMed
24.
go back to reference Homma K, Otaki Y, Sugawara M et al. Efficacy of novel SB knife Jr examined in a multicenter study on colorectal endoscopic submucosal dissection. Dig Endosc. 2012;24:117–120.CrossRefPubMed Homma K, Otaki Y, Sugawara M et al. Efficacy of novel SB knife Jr examined in a multicenter study on colorectal endoscopic submucosal dissection. Dig Endosc. 2012;24:117–120.CrossRefPubMed
25.
go back to reference Yamashina T, Takeuchi Y, Nagai K et al. Scissor-type knife significantly improves self-completion rate of colorectal endoscopic submucosal dissection: Single-center prospective randomized trial. Dig Endosc. 2017;29:322–329.CrossRefPubMed Yamashina T, Takeuchi Y, Nagai K et al. Scissor-type knife significantly improves self-completion rate of colorectal endoscopic submucosal dissection: Single-center prospective randomized trial. Dig Endosc. 2017;29:322–329.CrossRefPubMed
26.
go back to reference Oka S, Tanaka S, Takata S, Kanao H, Chayama K. Usefulness and safety of SB knife Jr in endoscopic submucosal dissection for colorectal tumors. Dig Endosc. 2012;24:90–95.CrossRefPubMed Oka S, Tanaka S, Takata S, Kanao H, Chayama K. Usefulness and safety of SB knife Jr in endoscopic submucosal dissection for colorectal tumors. Dig Endosc. 2012;24:90–95.CrossRefPubMed
27.
go back to reference Draganov PV, Aihara H, Karasik MS et al. Endoscopic Submucosal Dissection in North America: A Large Prospective Multicenter Study. Gastroenterology. 2021;160:2317-2327.e2.CrossRefPubMed Draganov PV, Aihara H, Karasik MS et al. Endoscopic Submucosal Dissection in North America: A Large Prospective Multicenter Study. Gastroenterology. 2021;160:2317-2327.e2.CrossRefPubMed
28.
go back to reference Yachida T, Kobara H, Kozuka K et al. Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study. J Clin Med. 2023;12:2329.CrossRefPubMedPubMedCentral Yachida T, Kobara H, Kozuka K et al. Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study. J Clin Med. 2023;12:2329.CrossRefPubMedPubMedCentral
29.
go back to reference Nagai K, Uedo N, Yanashina T et al. A comparative study of grasping-type scissors forceps and insulated-tip knife for endoscopic submucosal dissection of early gastric cancer: a randomized controlled trial. Endosc Int Open 2016;04:E654-660.CrossRef Nagai K, Uedo N, Yanashina T et al. A comparative study of grasping-type scissors forceps and insulated-tip knife for endoscopic submucosal dissection of early gastric cancer: a randomized controlled trial. Endosc Int Open 2016;04:E654-660.CrossRef
30.
go back to reference Tamari H, Oka S, Kotachi T et al. Efficacy of the specialized scissor-type knife for gastric endoscopic submucosal dissection: a propensity score matched retrospective study. Endosc Int Open 2023;11:E315–E321.CrossRefPubMedPubMedCentral Tamari H, Oka S, Kotachi T et al. Efficacy of the specialized scissor-type knife for gastric endoscopic submucosal dissection: a propensity score matched retrospective study. Endosc Int Open 2023;11:E315–E321.CrossRefPubMedPubMedCentral
31.
go back to reference Dohi O, Yoshida N, Terasaki K et al. Efficacy of clutch cutter for standardizing endoscopic submucosal dissection for early gastric cancer: A propensity score-matched analysis. Digestion 2018;6:1–9. Dohi O, Yoshida N, Terasaki K et al. Efficacy of clutch cutter for standardizing endoscopic submucosal dissection for early gastric cancer: A propensity score-matched analysis. Digestion 2018;6:1–9.
Metadata
Title
Efficacy of Two Kinds of Scissor-Type Knives for Colorectal Endoscopic Submucosal Dissection: A Retrospective Comparative Study
Authors
Jianhua Shen
Naohisa Yoshida
Reo Kobayashi
Ken Inoue
Ryohei Hirose
Osamu Dohi
Hideyuki Konishi
Yuri Tomita
Yoshito Itoh
Publication date
05-07-2024
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 11/2024
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-024-08525-3

Keynote series | Spotlight on menopause

Menopause can have a significant impact on the body, with effects ranging beyond the endocrine and reproductive systems. Learn about the systemic effects of menopause, so you can help patients in your clinics through the transition.   

Prof. Martha Hickey
Dr. Claudia Barth
Dr. Samar El Khoudary
Developed by: Springer Medicine
Watch now

Keynote webinar | Spotlight on adolescent vaping

Growing numbers of young people are using e-cigarettes, despite warnings of respiratory effects and addiction. How can doctors tackle the epidemic, and what health effects should you prepare to manage in your clinics?

Prof. Ann McNeill
Dr. Debbie Robson
Benji Horwell
Developed by: Springer Medicine
Watch now

Keynote webinar | Spotlight on modern management of frailty

Frailty has a significant impact on health and wellbeing, especially in older adults. Our experts explain the factors that contribute to the development of frailty and how you can manage the condition and reduce the risk of disability, dependency, and mortality in your patients.

Prof. Alfonso Cruz-Jentoft
Prof. Barbara C. van Munster
Prof. Mirko Petrovic
Developed by: Springer Medicine
Watch now

A quick guide to ECGs

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

PD Dr. Carsten W. Israel
Developed by: Springer Medizin
Start the cases

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Read more