Waterjet-assisted TEM ESD using the Surgery Workstation (VIO® 3, ERBEJET® 2, APC 3) combines the advantages of transanal endoscopic microsurgery (TEM) and endoscopic submucosal dissection (ESD). High-pressure waterjet elevation using the ERBEJET® 2 in combination with chromoendoscopy extends the benefits of the TEM ESD procedure:
The liquid cushion elevates the resection area, ensuring a safe distance to the muscularis.
The contrasting makes it easier to identify the resection layer and margins.
The fluid increases conductivity and improves the cutting features of monopolar electrosurgical resection.
