Introduction Colorectal cancer, the third most common cancer and second leading cause of cancer death globally, resulted in 1.9 million new cases and 930,000 deaths in 2020.1,2 With incidence projected to double by 2040, screening programs have become critical for early detection and removal of precancerous lesions.3 Endoscopic submucosal dissection (ESD) has emerged as the preferred removal technique, achieving complete excision with superior outcomes compared to conventional methods.4...