Clinical outcomes of endoscopic submucosal dissection for large colorectal neoplasms: a comparison of protruding and laterally spreading tumors
| العنوان: | Clinical outcomes of endoscopic submucosal dissection for large colorectal neoplasms: a comparison of protruding and laterally spreading tumors |
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| المؤلفون: | Jae Yeon Lee, Byong Duk Ye, Jeong Sik Byeon, Ho-Su Lee, Suk-Kyun Yang, Seung-Jae Myung, Sang Hyoung Park, Jae Seung Soh, Kyung-Jo Kim, Jung-Ho Bae, Dong-Hoon Yang, Hyo Jeong Lee, Seohyun Lee, Jin-Ho Kim |
| المصدر: | Surgical Endoscopy. 30:1619-1628 |
| بيانات النشر: | Springer Science and Business Media LLC, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Severe fibrosis, Complete resection, Lesion, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine, Humans, Intestinal Mucosa, Aged, Retrospective Studies, Aged, 80 and over, Tumor size, business.industry, Dissection, En bloc resection, Endoscopy, Endoscopic submucosal dissection, Middle Aged, Hepatology, Surgery, Treatment Outcome, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, medicine.symptom, Colorectal Neoplasms, business, Abdominal surgery |
| الوصف: | The therapeutic outcome of endoscopic submucosal dissection (ESD) for large protruding tumors has not yet been evaluated. We aimed to compare the outcomes of ESD in protruding tumors with those of laterally spreading tumors (LSTs). Endoscopic submucosal dissection was attempted in 218 patients with 220 colorectal tumors ≥30 mm in diameter (67, protruding tumors; 153, LSTs) from July 2007 to June 2014. We retrospectively reviewed patient medical records, therapeutic outcomes, and procedure-related adverse events. This study defined lesions with a height of 10 mm or more as protruding tumors and those with a height under 10 mm as LSTs. The mean lesion diameter, height, and volume were 43.8, 9.5 mm, and 13.6 cm3, respectively. The mean procedure time was 75.5 min. Deep submucosal cancer was more frequent in protruding tumors than in LSTs (11.9 vs. 2.6 %, P = 0.005). Severe fibrosis was more common in protruding tumors than in LSTs (19.4 vs. 3.9 %, P |
| تدمد: | 1432-2218 0930-2794 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ad3788496d0ed5bb9bb9f9946c87cbe0Test https://doi.org/10.1007/s00464-015-4392-6Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....ad3788496d0ed5bb9bb9f9946c87cbe0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322218 09302794 |
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