Rectal ESD - PCM & Traction Approach using Speedboat Notch - Dr Parra-Blanco (UK)

Описание: This 5-minute edited procedure demonstrates the resection of a 9cm, 75% circumferential rectal lesion using the Speedboat Notch, highlighting the key stages of Pocket Creation Method (PCM) ESD and the procedural advantages of the Speedboat platform. The case showcases a consistently clean, low dissection plane, with the Speedboat Notch used to generate controlled tissue tension, enabling precise, efficient dissection. Extensive pre-coagulation is demonstrated throughout the procedure to minimise intra-procedural bleeding, maintain a clear operative field, and support faster, more controlled tissue dissection. As the size and weight of the lesion increase, simple clip traction is introduced to optimise exposure and maintain stability within the submucosal plane, allowing safe progression through a complex near-circumferential resection while preserving excellent visualisation and procedural control. Overall, this case demonstrates how the Speedboat Notch can be effectively integrated into advanced PCM-ESD techniques to improve efficiency, maintain a clean operative field, and support the safe resection of large rectal lesions.