Evaluation of endoscopic submucosal dissection and surgery in the diagnosis and treatment of early gastric cancer
- VernacularTitle: 内镜黏膜下剥离术与外科手术在早期胃癌中的诊疗效果评价
- Author:
Junfeng GUO
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4
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5
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Xiujing SUN
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Qian ZHANG
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5
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Jie XING
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3
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Min ZHU
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5
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Bin CAO
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5
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Shutian ZHANG
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2
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3
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4
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5
Author Information
- Publication Type:Journal Article
- Keywords: Surgical procedures, operative; Early gastric cancer; Endoscopic submucosal dissection
- From: Chinese Journal of Digestive Endoscopy 2019;36(11):811-814
- CountryChina
- Language:Chinese
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Abstract:
Objective:To compare the efficacy and safety of endoscopic submucosal dissection(ESD) and surgery in the treatment of early gastric cancer.
Methods:Clinical data of patients with early gastric cancer who received ESD or surgery in Beijing Friendship Hospital from June 2012 to May 2018 were collected. Complete resection rate, complication incidence, hospital stay and expenses between the two groups were compared.
Results:There was no significant difference between two groups in complete resection rate[95.7%(245/256) VS 99.0%(97/98),P =0.191], or the complication incidence [5.9%(15/256) VS 8.2%(8/98),P =0.471]. Hospital stay was shorter in the ESD group than that in the surgery group(11.5±3.7 d VS 19.4±13.0 d,P =0.000). Expenses were less in the ESD group than those in the surgery group (27 383.1±10 143.0 yuan VS 78 004.3±79 027.8 yuan,P =0.000).
Conclusion:The efficacy and safety of ESD are comparable with surgery in the treatment of early gastric cancer, but ESD is superior to surgery in hospital stay and expenses.
