Efficacy of endoscopic mucosal resection with grasping forceps for rectal neuroendocrine tumors ≤10 mm (with video)
10.3760/cma.j.cn321463-20241120-00355
- VernacularTitle:异物钳辅助内镜黏膜切除术治疗长径≤10 mm直肠神经内分泌瘤的疗效分析（含视频）
- Author:
Hongshi ZHANG
1
;
Yanjuan LIN
1
;
Muqing WANG
1
;
Yaokui HUANG
1
Author Information
1. 汕头市中心医院内镜中心，汕头 515031
- Publication Type:Journal Article
- Keywords:
Neuroendocrine tumor;
Rectum;
Endoscopic mucosal resection with grasping forceps;
Endoscopic submucosal dissection
- From:
Chinese Journal of Digestive Endoscopy
2025;42(10):809-816
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy of endoscopic mucosal resection with grasping forceps (EMR-G) and endoscopic submucosal dissection (ESD) for the resection of rectal neuroendocrine tumors (NET)≤10 mm.Methods:Data of 74 patients with ≤10 mm rectal NET admitted to Shantou Central Hospital from August 2020 to June 2024 were retrospectively analyzed. Patients were divided into the ESD group and the EMR-G group according to the surgical method. Outcomes included R0 resection rate, margin-to-base distance, operative time, cost, and hospital stay.Results:The EMR-G group demonstrated significantly higher R0 resection rates [100.0% (37/37) VS 81.1% (30/37), χ2=7.731, P=0.006], greater margin-to-base distance (median 330 μm VS 110 μm, Z=-5.890, P<0.001), shorter operative time (15.22±2.94 min VS 27.95±6.50 min, t=-10.854, P<0.001), lower cost (2 409.51±205.00 yuan VS 7 899.19±420.14 yuan, t=-71.430, P=0.001), and reduced hospital stay (1.08±0.27 days VS 2.76±0.80 days, t=-12.095, P<0.001). Conclusion:EMR-G outperforms ESD for ≤10 mm rectal NETs by improving R0 resection, shortening procedure duration and hospitalization, and reducing costs, which is worth promotion.
