Endoscopic submucosal tunnel dissection for early esophageal squamous cell carcinoma in patients with cirrhosis: A propensity score analysis

Figure 1 Flowchart of treatment of early esophageal squamous cell carcinoma in patients with cirrhosis. ESTD: Endoscopic submucosal tunnel dissection; EESCC: Esophageal squamous cell carcinoma; EVL: Esophageal variceal ligation; TIPS: Transjugular intrahepatic portosystemic shunt.

Figure 2 Representative case with early esophageal squamous cell carcinoma treated with endoscopic submucosal tunnel dissection. A: Esophageal lesions under white-light endoscopy; B: Esophageal iodine staining before dissection; C: Marking the margin of the esophageal lesions; D: Oral incision after submucosal injection; E: Tunnel creation by submucosal dissection; F: Submucosal dissection with an insulated tip knife; G: The wound after endoscopic submucosal tunnel dissection; H: The resected specimen was pinned on a board after iodine staining.

Figure 3 The flow diagram of cohort patients. ESTD: Endoscopic submucosal tunnel dissection.

Figure 4 Kaplan-Meier survival curves for cirrhosis group and noncirrhosis group. A: Overall survival; B: Disease-specific survival; C: Recurrence-free survival.