Clinical Study

An Electrosurgical Endoknife with a Water-Jet Function (Flushknife) Proves Its Merits in Colorectal Endoscopic Submucosal Dissection Especially for the Cases Which Should Be Removed En Bloc

Table 1

Baseline and clinicopathological features of the treatment groups.

Flexknife group, (%)Flushknife group, (%)

Number of patients2623
Number of lesions2625
Excluded lesions after allocation21
Number of analyzed lesions2424
Median age (range, years old)68 (51–86)68 (47–87)
Sex
 Men16 (67)9 (38)
 Women8 (33)15 (62)
Location of the lesions
 Rectum 7 (29)6 (25)
 Colon17 (71)18 (75)
Tumor type
 Protruded or LST-G 19 (79)19 (79)
 LST-NG or lesions with fold convergence5 (21)5 (21)
Median estimated tumor size (range, mm)27.5 (20–50)30 (20–60)
Endoscopist
 Y.T.17 (73)15 (64)
 N.U.7 (27)9 (36)
Median resected tumor size (range, mm)38 (12–60)35.5 (20–95)
Median resected specimen size (range, mm)40 (15–60)37.5 (22–100)
Histological diagnosis
 Low-grade adenoma77
 High-grade adenoma97
 Noninvasive carcinoma59
 SM 1 (≤1000  m)20
 SM 2 (>1000  m)11
Resectability
 R020 (83%)19 (79%)
 R14 (17%)5 (21%)
 Rx00