To an ecological endoscopic submucosal dissection: tips and tricks to reduce waste.

Nevertheless, the use of the snare to remove the traction is still useful if the knife were to be re-used for endoscopy teaching because the knife would be damaged from removing the traction. We report a technique to remove traction using the knife during an endoscopic ubmucosal dissection (ESD). This technique will not change the patient tumor prognosis but will contribute to reduce waste and lessen our environmental impact. [Extracted from the article]