结肠镜检查,乙状结肠 - LSTG肿瘤 - - EMR

Patient: Middle aged patient.
Lesion: A 20 mm lesion - LST-G tumor with central depression, with tubular and branched mucosal pit pattern. Biopsies and tattoo done. Lesion demonstrates pulsations. Saline flush demonstrates non-dependent position of the lesion.
Anesthesia: General anesthesia given the body habitus.
Injection: 20 cc of fluid injected - Epinephrine 1:10,000 and Saline with Methylene Blue injected into the center of the lesion, left side, right side and cecal side of the lesion with a good lift.
Snare resection: 15 stiff oval snare - "back-hand flip technique" starting from the left side and moving to the right side of the lesion. En-bloc resection using coagulation and cut current.

                               
登录/注册后可看大图

Resection base: Clean, blue base; edge clean.
APC of the edge: 0.8 l flow and 35 watts.
Clip closure: The defect was closed with clips.