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ENDOSCOPIC SUBMUCOSAL DISSECTION IN EARLY GASTRIC CANCER. EXPERIENCE IN 16 PATIENTS

Disección submucosa endoscópica en cáncer gástrico incipiente: Experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile.

dc.contributoren-US
dc.contributores-ES
dc.creatorDonoso D, Andrés
dc.creatorSharp, Allan
dc.creatorParra-Blanco, Adolfo
dc.creatorRoa, Juan Carlos
dc.creatorBächler, Jean Phillipe
dc.creatorCrovari, Fernando
dc.creatorFunke, Ricardo
dc.creatorPimentel, Fernando
dc.creatorIbáñez, Luis
dc.creatorGuzmán, Sergio
dc.date2015-08-24
dc.date.accessioned2019-11-11T18:26:43Z
dc.date.available2019-11-11T18:26:43Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3980
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/110780
dc.descriptionBackground: Endoscopic submucosal dissection (ESD) is a minimally invasive procedure that allows curative treatment of early gastric cancer (EGC) in selected patients. Aim: To report our initial experience with ESD. Material and methods: Analysis of prospective data from 16 patients aged 61 to 84 years, who underwent ESD between December 2011 and June 2014. Tumor type, operative time, hospitalization length, oncologic outcomes, complications and short-term follow up were registered. Results: En-block resection was achieved in all cases. The median operative time was 135 min (range: 50-320 min). Specimens’ median size was 3.5 cm (range: 3-10). All the resections were R0. In 14 patients ESD was considered curative. In two patients, ESD was considered potentially non-curative due to the presence pathological risk factors for lymph-node metastases in the biopsy specimen. Both patients underwent laparoscopic gastrectomy with lymph-node dissection. There was one case of gastric wall perforation that was repaired by laparoscopic suture. There was no mortality. The median follow-up time was 15 months (range: 2-30 months). Conclusions: ESD is a feasible and safe procedure in our institution with good results in this initial experience.en-US
dc.descriptionBackground: Endoscopic submucosal dissection (ESD) is a minimally invasive procedure that allows curative treatment of early gastric cancer (EGC) in selected patients. Aim: To report our initial experience with ESD. Material and methods: Analysis of prospective data from 16 patients aged 61 to 84 years, who underwent ESD between December 2011 and June 2014. Tumor type, operative time, hospitalization length, oncologic outcomes, complications and short-term follow up were registered. Results: En-block resection was achieved in all cases. The median operative time was 135 min (range: 50-320 min). Specimens’ median size was 3.5 cm (range: 3-10). All the resections were R0. In 14 patients ESD was considered curative. In two patients, ESD was considered potentially non-curative due to the presence pathological risk factors for lymph-node metastases in the biopsy specimen. Both patients underwent laparoscopic gastrectomy with lymph-node dissection. There was one case of gastric wall perforation that was repaired by laparoscopic suture. There was no mortality. The median follow-up time was 15 months (range: 2-30 months). Conclusions: ESD is a feasible and safe procedure in our institution with good results in this initial experience.es-ES
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dc.publisherRevista Médica de Chilees-ES
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dc.sourceRevista Médica de Chile; Vol. 143, núm. 10 (2015): OCTUBRE 2015es-ES
dc.source0034-9887
dc.subjectEndoscopy, digestive system; Early detection of cancer; Minimally invasive surgical procedures; Stomach neoplasmsen-US
dc.subjectEndoscopy, digestive system; Early detection of cancer; Minimally invasive surgical procedures; Stomach neoplasmses-ES
dc.titleENDOSCOPIC SUBMUCOSAL DISSECTION IN EARLY GASTRIC CANCER. EXPERIENCE IN 16 PATIENTSen-US
dc.titleDisección submucosa endoscópica en cáncer gástrico incipiente: Experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile.es-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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