Advances in endoscopic therapy using grasping-type scissors forceps (with video)

Figure 2 Four basic steps for safe and effective endoscopic submucosal dissection using the clutch cutter. A: Grasping step (lock-on-like accurate targeting); B: Pulling step (minimal electrical damage to the muscle layer); C: Coagulation step (accurate and effective hemostatic ability); D: Cutting step (accurate mucosal incision and submucosal dissection). Quoted and modified from Akahoshi et al[16] with permission. Citation: Akahoshi K, Kubokawa M, Tamura S. Clutch Cutter (Long type & Short type). In: Yahagi N. Electrosurgical units for therapeutic endoscopy-Settings and Its effective usage. 3^rd ed. Tokyo: Japan Medical Center, 2020: 177-184.