학술논문

Use of endoscopic submucosal dissection or full-thickness resection device to treat residual colorectal neoplasia after endoscopic resection: a multicenter historical cohort study.
Document Type
Article
Source
Endoscopy. Nov2023, Vol. 55 Issue 11, p1002-1009. 8p.
Subject
*ENDOSCOPIC surgery
*ADENOMATOUS polyps
*SUBMUCOUS plexus
*COHORT analysis
*TUMORS
*DISSECTION
Language
ISSN
0013-726X
Abstract
For lesions of 20-30 mm, the difference was already large, with rates of 83.9 % and 57.1 % for R0 resections in the ESD and FTRD groups, respectively ( I P i = 0.06), and this difference dramatically increased when the lesion size was > 30 mm (93.6 % vs. 33.3 %; I P i = 0.002). The lesions treated by ESD were however statistically larger than those treated by FTRD ( I P i < 0.001), and small lesion size was the only factor associated with en bloc and R0 resection on univariate analysis (Table 2; B Table 1 s, b see online-only Supplementary material). Graph Introduction Endoscopic submucosal dissection (ESD) is a safe and effective technique to achieve R0 resection of superficial colorectal neoplasia, regardless of its size, and is associated with few recurrences [1][2][3][4]. [Extracted from the article]