Khan Suliman, Ali Faisal S, Ullah Saif, Huang Xue-, Li Hongyu
The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Gastroenterology, Hepatology, and Nutrition Department, University of Texas Health Science Center at Houston, Houston, TX, United States.
Front Oncol. 2022 Nov 1;12:1059636. doi: 10.3389/fonc.2022.1059636. eCollection 2022.
Traction techniques have emerged as a desirable "second-hand" while performing endoscopic submucosal dissection (ESD), enabling adequate visualization of submucosal tissue and vasculature, which allows for safe and efficient dissection. Multiple traction techniques have been developed over the years, and these can be broadly divided into internal and external traction techniques. This arsenal of techniques allows for traction that is personalized to the location of the lesion undergoing ESD. Mastering traction techniques requires structured training, and understanding of the benefits and pitfalls of each technique. Future research and development efforts need to focus on pathways and curriculums for trainees to master the currently available endoscopic traction techniques and provide avenues for the development of newer traction modalities.
在进行内镜黏膜下剥离术（ESD）时，牵引技术已成为一种理想的“辅助手段”，它能使黏膜下组织和脉管系统得到充分显露，从而实现安全、高效的剥离。多年来已开发出多种牵引技术，这些技术大致可分为内部牵引技术和外部牵引技术。这一系列技术能够根据接受ESD治疗的病变部位进行个性化牵引。掌握牵引技术需要系统的培训，以及对每种技术的优缺点有所了解。未来的研发工作需要聚焦于为学员掌握当前可用的内镜牵引技术提供途径和课程，并为更新的牵引方式的发展提供渠道。
