Endoscopic resection of submucosal tumors (STER)

Indications

  • Submucosal tumors originating in the muscularis

Advantages of ERBE equipment

  • Gentle exposure in the submucosal tunnel through to the target area
  • Minimal risk of muscularis perforation
  • Intact mucosa is used for coverage of the resection bed

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Recommended products

VIO® 200 D

10140-200

The electrosurgical unit for medical specialities -modular with individual configurations.More...

ERBEJET® 2

10150-000

A new dimension in waterjet surgery: The ERBEJET 2 in the VIO System.More...

Pump (single-use)

20150-301

The pump of the ERBEJET 2 allows continuous application of the water jet.More...

HybridKnife® T-Type I-Jet

20150-060

Elevation and dissection with just one instrumentMore...

HybridKnife® I-Type I-Jet

20150-061

Elevation and dissection with just one instrumentMore...

HybridKnife® O-Type I-Jet

20150-062

Elevation and dissection with just one instrumentMore...

Operation steps
Elevation of the mucosa using waterjet

Elevation of the mucosa using waterjet

The HybridKnife is used to raise the submucosa, a fluid tunnel is created

Incision in the mucosa approx. 3 - 5 cm above the tumor

Incision in the mucosa approx. 3 - 5 cm above the tumor

The mucosa is opened using the electrosurgical function of the HybridKnife

Submucosal tunneling through alternate use of exposure and elevation

Submucosal tunneling through alternate use of exposure and elevation

The tunnel is fully exposed using the electrosurgical and waterjet function of the HybridKnife

En bloc resection of the tumor capsule under endoscopic view

En bloc resection of the tumor capsule under endoscopic view

The tumor is resected through alternate use of the electrosurgical and waterjet function

Once the tumor has been retrieved, the incision site is treated using clips

Once the tumor has been retrieved, the incision site is treated using clips