Endoscopic submucosal dissection for early esophageal neoplasms using the stag beetle knife
To determine short- and long-term outcomes of endoscopic submucosal dissection (ESD) using the stag beetle (SB) knife, a scissor-shaped device. Seventy consecutive patients with 96 early esophageal neoplasms, who underwent ESD using a SB knife at Kure Medical Center and Chugoku Cancer Center, Japan,...
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Veröffentlicht in: | World journal of gastroenterology : WJG 2018-04, Vol.24 (15), p.1632-1640 |
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creator | Kuwai, Toshio Yamaguchi, Toshiki Imagawa, Hiroki Miura, Ryoichi Sumida, Yuki Takasago, Takeshi Miyasako, Yuki Nishimura, Tomoyuki Iio, Sumio Yamaguchi, Atsushi Kouno, Hirotaka Kohno, Hiroshi Ishaq, Sauid |
description | To determine short- and long-term outcomes of endoscopic submucosal dissection (ESD) using the stag beetle (SB) knife, a scissor-shaped device.
Seventy consecutive patients with 96 early esophageal neoplasms, who underwent ESD using a SB knife at Kure Medical Center and Chugoku Cancer Center, Japan, between April 2010 and August 2016, were retrospectively evaluated. Clinicopathological characteristics of lesions and procedural adverse events were assessed. Therapeutic success was evaluated on the basis of
, histologically complete, and curative or non-curative resection rates. Overall and tumor-specific survival, local or distant recurrence, and 3- and 5-year cumulative overall metachronous cancer rates were also assessed.
Eligible patients had dysplasia/intraepithelial neoplasia (22%) or early cancers (squamous cell carcinoma, 78%). The median procedural time was 60 min and on average, the lesions measured 24 mm in diameter, yielding 33-mm tissue defects. The
resection rate was 100%, with 95% and 81% of dissections deemed histologically complete and curative, respectively. All procedures were completed without accidental incisions/perforations or delayed bleeding. During follow-up (mean, 35 ± 23 mo), no local recurrences or metastases were observed. The 3- and 5-year survival rates were 83% and 70%, respectively, with corresponding rates of 85% and 75% for curative resections and 74% and 49% for non-curative resections. The 3- and 5-year cumulative rates of metachronous cancer in the patients with curative resections were 14% and 26%, respectively.
ESD procedures using the SB knife are feasible, safe, and effective for treating early esophageal neoplasms, yielding favorable short- and long-term outcomes. |
doi_str_mv | 10.3748/wjg.v24.i15.1632 |
format | Article |
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Seventy consecutive patients with 96 early esophageal neoplasms, who underwent ESD using a SB knife at Kure Medical Center and Chugoku Cancer Center, Japan, between April 2010 and August 2016, were retrospectively evaluated. Clinicopathological characteristics of lesions and procedural adverse events were assessed. Therapeutic success was evaluated on the basis of
, histologically complete, and curative or non-curative resection rates. Overall and tumor-specific survival, local or distant recurrence, and 3- and 5-year cumulative overall metachronous cancer rates were also assessed.
Eligible patients had dysplasia/intraepithelial neoplasia (22%) or early cancers (squamous cell carcinoma, 78%). The median procedural time was 60 min and on average, the lesions measured 24 mm in diameter, yielding 33-mm tissue defects. The
resection rate was 100%, with 95% and 81% of dissections deemed histologically complete and curative, respectively. All procedures were completed without accidental incisions/perforations or delayed bleeding. During follow-up (mean, 35 ± 23 mo), no local recurrences or metastases were observed. The 3- and 5-year survival rates were 83% and 70%, respectively, with corresponding rates of 85% and 75% for curative resections and 74% and 49% for non-curative resections. The 3- and 5-year cumulative rates of metachronous cancer in the patients with curative resections were 14% and 26%, respectively.
ESD procedures using the SB knife are feasible, safe, and effective for treating early esophageal neoplasms, yielding favorable short- and long-term outcomes.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v24.i15.1632</identifier><identifier>PMID: 29686470</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell - mortality ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Endoscopic Mucosal Resection - adverse effects ; Endoscopic Mucosal Resection - instrumentation ; Endoscopic Mucosal Resection - methods ; Esophageal Neoplasms - mortality ; Esophageal Neoplasms - pathology ; Esophageal Neoplasms - surgery ; Esophagoscopy - instrumentation ; Esophagoscopy - methods ; Esophagus - pathology ; Esophagus - surgery ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Japan - epidemiology ; Male ; Middle Aged ; Neoplasm Recurrence, Local - epidemiology ; Neoplasm Recurrence, Local - prevention & control ; Neoplasms, Second Primary - epidemiology ; Operative Time ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Retrospective Studies ; Retrospective Study ; Survival Rate ; Treatment Outcome</subject><ispartof>World journal of gastroenterology : WJG, 2018-04, Vol.24 (15), p.1632-1640</ispartof><rights>The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. 2018</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-dadd1682934a289ab2e03ff8a619994834c34ea9c77341552809c13a122bafda3</citedby><cites>FETCH-LOGICAL-c462t-dadd1682934a289ab2e03ff8a619994834c34ea9c77341552809c13a122bafda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5910546/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5910546/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29686470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kuwai, Toshio</creatorcontrib><creatorcontrib>Yamaguchi, Toshiki</creatorcontrib><creatorcontrib>Imagawa, Hiroki</creatorcontrib><creatorcontrib>Miura, Ryoichi</creatorcontrib><creatorcontrib>Sumida, Yuki</creatorcontrib><creatorcontrib>Takasago, Takeshi</creatorcontrib><creatorcontrib>Miyasako, Yuki</creatorcontrib><creatorcontrib>Nishimura, Tomoyuki</creatorcontrib><creatorcontrib>Iio, Sumio</creatorcontrib><creatorcontrib>Yamaguchi, Atsushi</creatorcontrib><creatorcontrib>Kouno, Hirotaka</creatorcontrib><creatorcontrib>Kohno, Hiroshi</creatorcontrib><creatorcontrib>Ishaq, Sauid</creatorcontrib><title>Endoscopic submucosal dissection for early esophageal neoplasms using the stag beetle knife</title><title>World journal of gastroenterology : WJG</title><addtitle>World J Gastroenterol</addtitle><description>To determine short- and long-term outcomes of endoscopic submucosal dissection (ESD) using the stag beetle (SB) knife, a scissor-shaped device.
Seventy consecutive patients with 96 early esophageal neoplasms, who underwent ESD using a SB knife at Kure Medical Center and Chugoku Cancer Center, Japan, between April 2010 and August 2016, were retrospectively evaluated. Clinicopathological characteristics of lesions and procedural adverse events were assessed. Therapeutic success was evaluated on the basis of
, histologically complete, and curative or non-curative resection rates. Overall and tumor-specific survival, local or distant recurrence, and 3- and 5-year cumulative overall metachronous cancer rates were also assessed.
Eligible patients had dysplasia/intraepithelial neoplasia (22%) or early cancers (squamous cell carcinoma, 78%). The median procedural time was 60 min and on average, the lesions measured 24 mm in diameter, yielding 33-mm tissue defects. The
resection rate was 100%, with 95% and 81% of dissections deemed histologically complete and curative, respectively. All procedures were completed without accidental incisions/perforations or delayed bleeding. During follow-up (mean, 35 ± 23 mo), no local recurrences or metastases were observed. The 3- and 5-year survival rates were 83% and 70%, respectively, with corresponding rates of 85% and 75% for curative resections and 74% and 49% for non-curative resections. The 3- and 5-year cumulative rates of metachronous cancer in the patients with curative resections were 14% and 26%, respectively.
ESD procedures using the SB knife are feasible, safe, and effective for treating early esophageal neoplasms, yielding favorable short- and long-term outcomes.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Squamous Cell - mortality</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Endoscopic Mucosal Resection - adverse effects</subject><subject>Endoscopic Mucosal Resection - instrumentation</subject><subject>Endoscopic Mucosal Resection - methods</subject><subject>Esophageal Neoplasms - mortality</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagoscopy - instrumentation</subject><subject>Esophagoscopy - methods</subject><subject>Esophagus - pathology</subject><subject>Esophagus - surgery</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Neoplasm Recurrence, Local - prevention & control</subject><subject>Neoplasms, Second Primary - epidemiology</subject><subject>Operative Time</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Retrospective Studies</subject><subject>Retrospective Study</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1P3DAQhq2qVVlo7z1VPvaSrT12PnyphBAtSEi9tKcerFlnkjXNxmkmAfHvMYIiOM3h_ZgZPUJ80mpratt8vb3utzdgt1GXW10ZeCM2ANoV0Fj1Vmy0UnXhDNRH4pj5WikwpoT34ghc1VS2Vhvx53xsE4c0xSB53R3WkBgH2UZmCktMo-zSLAnn4U4Sp2mPPWV9pDQNyAeWK8exl8ueJC_Yyx3RMpD8O8aOPoh3HQ5MH5_mifj9_fzX2UVx9fPH5dnpVRFsBUvRYtvqqgFnLELjcAekTNc1WGnnnG2MDcYSulDXxuqyhEa5oA1qgB12LZoT8e2xd8oPUBtoXGYc_DTHA853PmH0r5Ux7n2fbnzptCptlQu-PBXM6d9KvPhD5EDDgPnPlT0oo5UxrjbZqh6tYU7MM3XPa7TyD0x8ZuIzE5-Z-AcmOfL55XnPgf8QzD1Tuotl</recordid><startdate>20180421</startdate><enddate>20180421</enddate><creator>Kuwai, Toshio</creator><creator>Yamaguchi, Toshiki</creator><creator>Imagawa, Hiroki</creator><creator>Miura, Ryoichi</creator><creator>Sumida, Yuki</creator><creator>Takasago, Takeshi</creator><creator>Miyasako, Yuki</creator><creator>Nishimura, Tomoyuki</creator><creator>Iio, Sumio</creator><creator>Yamaguchi, Atsushi</creator><creator>Kouno, Hirotaka</creator><creator>Kohno, Hiroshi</creator><creator>Ishaq, Sauid</creator><general>Baishideng Publishing Group Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180421</creationdate><title>Endoscopic submucosal dissection for early esophageal neoplasms using the stag beetle knife</title><author>Kuwai, Toshio ; Yamaguchi, Toshiki ; Imagawa, Hiroki ; Miura, Ryoichi ; Sumida, Yuki ; Takasago, Takeshi ; Miyasako, Yuki ; Nishimura, Tomoyuki ; Iio, Sumio ; Yamaguchi, Atsushi ; Kouno, Hirotaka ; Kohno, Hiroshi ; Ishaq, Sauid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-dadd1682934a289ab2e03ff8a619994834c34ea9c77341552809c13a122bafda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Endoscopic Mucosal Resection - adverse effects</topic><topic>Endoscopic Mucosal Resection - instrumentation</topic><topic>Endoscopic Mucosal Resection - methods</topic><topic>Esophageal Neoplasms - mortality</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagoscopy - instrumentation</topic><topic>Esophagoscopy - methods</topic><topic>Esophagus - pathology</topic><topic>Esophagus - surgery</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - epidemiology</topic><topic>Neoplasm Recurrence, Local - prevention & control</topic><topic>Neoplasms, Second Primary - epidemiology</topic><topic>Operative Time</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Retrospective Studies</topic><topic>Retrospective Study</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Kuwai, Toshio</creatorcontrib><creatorcontrib>Yamaguchi, Toshiki</creatorcontrib><creatorcontrib>Imagawa, Hiroki</creatorcontrib><creatorcontrib>Miura, Ryoichi</creatorcontrib><creatorcontrib>Sumida, Yuki</creatorcontrib><creatorcontrib>Takasago, Takeshi</creatorcontrib><creatorcontrib>Miyasako, Yuki</creatorcontrib><creatorcontrib>Nishimura, Tomoyuki</creatorcontrib><creatorcontrib>Iio, Sumio</creatorcontrib><creatorcontrib>Yamaguchi, Atsushi</creatorcontrib><creatorcontrib>Kouno, Hirotaka</creatorcontrib><creatorcontrib>Kohno, Hiroshi</creatorcontrib><creatorcontrib>Ishaq, Sauid</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuwai, Toshio</au><au>Yamaguchi, Toshiki</au><au>Imagawa, Hiroki</au><au>Miura, Ryoichi</au><au>Sumida, Yuki</au><au>Takasago, Takeshi</au><au>Miyasako, Yuki</au><au>Nishimura, Tomoyuki</au><au>Iio, Sumio</au><au>Yamaguchi, Atsushi</au><au>Kouno, Hirotaka</au><au>Kohno, Hiroshi</au><au>Ishaq, Sauid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic submucosal dissection for early esophageal neoplasms using the stag beetle knife</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World J Gastroenterol</addtitle><date>2018-04-21</date><risdate>2018</risdate><volume>24</volume><issue>15</issue><spage>1632</spage><epage>1640</epage><pages>1632-1640</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>To determine short- and long-term outcomes of endoscopic submucosal dissection (ESD) using the stag beetle (SB) knife, a scissor-shaped device.
Seventy consecutive patients with 96 early esophageal neoplasms, who underwent ESD using a SB knife at Kure Medical Center and Chugoku Cancer Center, Japan, between April 2010 and August 2016, were retrospectively evaluated. Clinicopathological characteristics of lesions and procedural adverse events were assessed. Therapeutic success was evaluated on the basis of
, histologically complete, and curative or non-curative resection rates. Overall and tumor-specific survival, local or distant recurrence, and 3- and 5-year cumulative overall metachronous cancer rates were also assessed.
Eligible patients had dysplasia/intraepithelial neoplasia (22%) or early cancers (squamous cell carcinoma, 78%). The median procedural time was 60 min and on average, the lesions measured 24 mm in diameter, yielding 33-mm tissue defects. The
resection rate was 100%, with 95% and 81% of dissections deemed histologically complete and curative, respectively. All procedures were completed without accidental incisions/perforations or delayed bleeding. During follow-up (mean, 35 ± 23 mo), no local recurrences or metastases were observed. The 3- and 5-year survival rates were 83% and 70%, respectively, with corresponding rates of 85% and 75% for curative resections and 74% and 49% for non-curative resections. The 3- and 5-year cumulative rates of metachronous cancer in the patients with curative resections were 14% and 26%, respectively.
ESD procedures using the SB knife are feasible, safe, and effective for treating early esophageal neoplasms, yielding favorable short- and long-term outcomes.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>29686470</pmid><doi>10.3748/wjg.v24.i15.1632</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
subjects | Adult Aged Aged, 80 and over Carcinoma, Squamous Cell - mortality Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Endoscopic Mucosal Resection - adverse effects Endoscopic Mucosal Resection - instrumentation Endoscopic Mucosal Resection - methods Esophageal Neoplasms - mortality Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery Esophagoscopy - instrumentation Esophagoscopy - methods Esophagus - pathology Esophagus - surgery Feasibility Studies Female Follow-Up Studies Humans Japan - epidemiology Male Middle Aged Neoplasm Recurrence, Local - epidemiology Neoplasm Recurrence, Local - prevention & control Neoplasms, Second Primary - epidemiology Operative Time Postoperative Complications - epidemiology Postoperative Complications - etiology Retrospective Studies Retrospective Study Survival Rate Treatment Outcome |
title | Endoscopic submucosal dissection for early esophageal neoplasms using the stag beetle knife |
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