{
  "abstract": "Endoscopic submucosal dissection (ESD) enables en bloc resection for early gastrointestinal malignancies but is technically challenging. A novel, endoluminal robotic platform was developed to address these limitations. We conducted a randomised, crossover study comparing conventional to robot-assisted ESD using an open ex-vivo bovine colon model. 10 endoscopists without ESD or robotic experience were randomised to perform either approach first. Robot-assisted ESD achieved a greater en bloc resection rate (100% vs 40%; p=0.011), shorter procedure times (32.3 vs 85.1 min; p<0.001), fewer muscle injuries, perforations and lower physical and mental workload compared with conventional ESD. Robot-assisted ESD may facilitate broader ESD adoption but requires further steps of assessment.",
  "authors": [
    {
      "affiliations": [
        "Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA"
      ],
      "name": "Daniel Szvarca"
    },
    {
      "affiliations": [
        "Brigham and Women’s Hospital, Boston, Massachusetts, USA"
      ],
      "name": "Trent Walradt"
    },
    {
      "affiliations": [
        "Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA",
        "Harvard Medical School, Boston, Massachusetts, USA"
      ],
      "name": "Hiroyuki Aihara"
    },
    {
      "affiliations": [
        "Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA",
        "Harvard Medical School, Boston, Massachusetts, USA"
      ],
      "name": "Christopher C Thompson"
    }
  ],
  "title": "Robot versus conventional ESD for colonic lesions: results from a randomising model trial",
  "uid": "0391118c-bb97-5a26-820d-d937de409ba5"
}