A new robotic system improves endoscopic submucosal dissection (ESD) efficiency and safety for gastrointestinal tumors.

• En bloc resection rates are similar: 98.84% for the robotic group vs. 98.13% for conventional methods.
• Robotic assistance cut dissection time significantly (p = 0.00435) and improved submucosal visualization while reducing muscular injury and operator workload.

This system acts as a “third hand,” enhancing surgical precision and workflow without compromising outcomes.