To study the clinical effect of different stripping and traction assisted ESD in the treatment of early esophageal cancer.

From January 2017 to December 2018, 60 patients with esophageal early cancer and precancerous lesions were selected and divided into two groups, 30 in each group. The patients in group A were treated with floss assisted traction while those in group B were treated with rubber band assisted traction. The measurement data of operation time, traction device time and complete stripping time of the two groups were expressed as (±s), and independent sample t test was used. [n(%)]was used to count the postoperative complications, and χ² test was used. P<0.05 was considered statistically significant.

There was no significant difference between group A and group B in terms of operation time, traction device time, complete stripping time and average hospitalization time (P>0.05). Group A had 8 times of bleeding clip shedding(26.7%), which was significantly higher than group B with 2 times (6.7%), and the difference was statistically significant (P<0.05). The incidence of complications was 13.3% in group A and 10.0% in group B, with no significant difference between the two groups (P>0.05). The postoperative hospital stay was (10.2±3.4) d in group A and (9.7±3.1) d in group B, with no significant difference between the two groups (P>0.05). The patients were followed up for 12 months. There was no recurrence or death in the two groups.

Both kinds of traction technology can effectively assist ESD operation and provide a good surgical field for it. Each has its own characteristics, which can be selected according to clinical needs.