Copyright
©The Author(s) 2023.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1629-1640
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1629
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1629
Table 2 Characteristics of endoscopic submucosal dissection with backup surgery and laparoscopic surgery
| ESD with backup surgery (n = 27) | Laparoscopic surgery (n = 94) | OR (95%CI) | P value | |
| Age, yr, median (range) | 56 (50-64) | 62 (52-70) | 1.03 (1.00-1.06) | 0.053 |
| Male gender, n (%) | 9 (33.3) | 47 (50) | 2.00 (0.82-4.90) | 0.13 |
| Tumor size, n (%) | ||||
| ≤ 2 cm | 16 (59.3) | 15 (16) | 1 | |
| 3-5 cm | 11 (40.7) | 54 (57.4) | 7.66 (2.98-19.72) | < 0.001a |
| > 5 cm | 0 (0) | 25 (26.6) | ||
| Tumor location, n (%) | ||||
| Upper | 23 (85.2) | 61 (64.9) | 1 | |
| Middle | 1 (3.7) | 14 (14.9) | 3.11 (0.99-9.76) | 0.052 |
| Low | 3 (11.1) | 19 (3.2) | ||
| Layer of tumor origin, n (%) | ||||
| Submucosa | 0 (0) | 3 (3.2) | - | 1 |
| Muscularis propria | 27 (100) | 91 (96.8) | - | |
| Exophytic growth, n (%) | 10 (37) | 53 (56.4) | 2.20 (0.91-5.3) | 0.08 |
| Pathology, n (%) | ||||
| Benign | 11 (40.7) | 14 (14.9) | 1 | |
| Malignant or malignant potential | 16 (59.3) | 80 (85.1) | 3.93 (1.51-10.21) | 0.005a |
| Procedure time, min, median (IQR) | 185 (150-245) | 130 (100-169) | - | < 0.001a |
| Length of stay, d, median (IQR) | 7 (7-8) | 6 (4-6) | - | < 0.001a |
| Clavien ≥ III complication, n (%) | 0 (0) | 3 (3.2) | - | 0.347 |
- Citation: Chang WJ, Tsao LC, Yen HH, Yang CW, Chang HC, Kor CT, Wu SC, Lin KH. Goldilocks principle of minimally invasive surgery for gastric subepithelial tumors. World J Gastrointest Surg 2023; 15(8): 1629-1640
- URL: https://www.wjgnet.com/1948-9366/full/v15/i8/1629.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i8.1629