Comparison of Endoscopic Submucosal Dissection and Surgery for Differentiated Type Early Gastric Cancer within the Expanded Criteria
Clinical Endoscopy
; : 170-178, 2017.
Article
en En
| WPRIM
| ID: wpr-97898
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND/AIMS:
Endoscopic submucosal dissection (ESD) is a novel alternative treatment for differentiated early gastric cancer (EGC) without lymph node metastasis. We conducted this study to verify the therapeutic usefulness of ESD for treating differentiated EGC compared to that of surgery.METHODS:
This is a retrospective cohort study of 382 patients treated with differentiated EGC from March 2006 to May 2010. The propensity score yielded 275 matched patients. They were divided into an ESD group of 175 people and a gastrectomy group of 100 people. The patient demographics, pathologic characteristics, length of hospital stay, complication rate and survival rate were compared.RESULTS:
The complication rate was higher for the gastrectomy group than for the ESD group (15.0% vs. 5.1%, p=0.007). The average length of patient hospitalization was longer after gastrectomy than after ESD (8.6 days vs. 2.4 days, p<0.001). There were two cases of mortality in the surgery group within 30 days of procedure. The 5-year survival rates of the two groups did not show a statistically significant difference (92.0% vs. 93.3%, p=0.496).CONCLUSIONS:
The long-term survival rates of ESD and gastrectomy were not significantly different. The complication rate was lower for ESD than for gastrectomy, and the length of hospital stay was shorter after ESD than after gastrectomy.Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Neoplasias Gástricas
/
Demografía
/
Tasa de Supervivencia
/
Estudios Retrospectivos
/
Estudios de Cohortes
/
Mortalidad
/
Puntaje de Propensión
/
Gastrectomía
/
Hospitalización
/
Tiempo de Internación
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Humans
Idioma:
En
Revista:
Clinical Endoscopy
Año:
2017
Tipo del documento:
Article