Abstract
Endoscopic submucosal dissection (ESD) is becoming the preferred method for certain early gastrointestinal malignances, however, very few U.S. physicians have adopted this technique. This is in part due to the technically challenging nature of the procedure and the long learning curve. ESD is technically demanding, time consuming and bears high complication risks, but offers a higher en-blocresection rate compared to other endoscopic methods. Several endoscopic robots are currently under development in an attempt to make complex procedures more efficient and safe. Robotic-assisted endoscopy may have the potential to shorten learning curves, and broaden the adoption of complex endoscopic procedures such as ESD.
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