Clinical outcomes of endoscopic submucosal dissection for giant rectal tumors larger than 8 cm: A European referral center experience
To date, western data on colorectal ESD are limited. This study aimed to assess the efficacy and safety of rectal ESD for superficial lesions ≥ 8 cm. A total of 138 superficial rectal neoplasms treated by ESD were allocated in two groups: 25 in the “giant” ESD group and 113 in the control group. En...
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Published in | Digestive and liver disease Vol. 55; no. 10; pp. 1391 - 1396 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
Elsevier Ltd
01.10.2023
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Subjects | |
Online Access | Get full text |
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Summary: | To date, western data on colorectal ESD are limited. This study aimed to assess the efficacy and safety of rectal ESD for superficial lesions ≥ 8 cm.
A total of 138 superficial rectal neoplasms treated by ESD were allocated in two groups: 25 in the “giant” ESD group and 113 in the control group.
En bloc resection was achieved in 96% of cases in both groups. En bloc R0 resection rate was similar between the “giant” ESD group and the control group (84% vs 86%; p: 0.5) and curative resection was higher in the control group (81%) than in “giant” ESD group (68%) without reaching statistical significance (p: 0.2). Dissection time was significantly longer in the “giant” ESD group (251 vs 108 min; p <0.001), however, dissection speed was significantly higher (0.35 vs 0.17 cm2/min; p: 0.02).). Post-ESD stenosis was observed in 2 patients from the “giant” ESD group (8% vs 0% of control group, p: 0.03). No significant differences were found in delayed bleeding, perforation, local recurrences, and need for additional surgery.
ESD for superficial rectal tumors ≥ 8 cm is a feasible, safe, and effective therapeutic option. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1590-8658 1878-3562 |
DOI: | 10.1016/j.dld.2023.05.032 |