Published online Feb 27, 2024. doi: 10.4240/wjgs.v16.i2.511
Peer-review started: December 5, 2023
First decision: December 21, 2023
Revised: January 5, 2024
Accepted: January 17, 2024
Article in press: January 17, 2024
Published online: February 27, 2024
Processing time: 82 Days and 8.4 Hours
With advancements in the development of endoscopic technologies, the endo
To investigate the efficacy and safety ESD in the treatment of early gastric cancer and precancerous lesions in the elderly patients.
Seventy-eight elderly patients with early gastric cancer and precancerous lesions admitted to the Third Affiliated Hospital of Qiqihar Medical University were se
The curative resection rate and the rate of en bloc resection were higher in the experimental group than in the control group. The intraoperative bleeding volume was higher in the experimental group than in the control group. The operation time was longer in the experimental group than that in the control group, and the rate for base residual focus was lower in the experimental group than that of the control group, and the differences were all statistically significant (all P < 0.05). The length of hospital stay was longer in the experimental group than in the control group, and the incidence of surgical complications, 1-year postoperative recu
Compared with EMR, ESD surgery is more thorough. It reduces the rate of base residual focus, recurrence rate, surgical complications, and promotes the recovery of gastric cells and glandular function. It is safe and suitable for clinical application.
Core Tip: Endoscopic submucosal dissection is one of the most commonly used minimally invasive therapies for early gastric cancer and precancerous lesions. The present study compared the primary intraoperative conditions, postoperative short- and long-term recovery and functional status of gastric mucosa between elderly patients undergoing endoscopic submucosal dissection vs those undergoing endoscopic mucosal resection to evaluate the efficacy and safety of these two operations.