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. 2022 May 13;10(5):E694–E702. doi: 10.1055/a-1789-0548

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 1 — Procedure for the pocket creation method (PCM). a Minimal mucosal incision followed by submucosal dissection allowing the tip of a conical hood on the tip of the endoscope to enter the submucosa. b Extending the pocket by dissecting the submucosa. c Dissecting under the lesion without a circumferential incision. d Opening the pocket from the gravity side. e Opening the pocket on the non-gravity side. f Completion of en bloc resection.