1. Comparison of endoscopic submucosal dissection and modified endoscopic mucosal resection for rectal neuroendocrine tumors
- Author
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Yoshiyasu Kitagawa, Takuto Suzuki, Akihiro Miyakawa, Kenichiro Okimoto, Tomoaki Matsumura, Toshiyasu Shiratori, Hideaki Ishigami, Takeshi Mine, Hideyuki Takashiro, Hirofumi Saito, and Naoya Kato
- Subjects
Rectal neuroendocrine tumor ,Endoscopic submucosal dissection ,Modified endoscopic mucosal resection ,Medicine ,Science - Abstract
Abstract Although some studies have compared the treatment outcomes between modified endoscopic mucosal resection (m-EMR) and endoscopic submucosal dissection (ESD) for rectal neuroendocrine tumors (NETs), the results are based on the experience of experts from a single high-volume center. This multicenter study aimed to compare the outcomes between m-EMR and ESD for rectal NETs, with emphasis on the operator’s level. Data of patients with rectal NETs treated using m-EMR or ESD at seven institutions that included general hospitals in Japan were retrospectively reviewed. Patients treated using m-EMR and those treated using ESD were matched for age, sex, lesion size, lesion location, and operator level through propensity score matching. The treatment outcomes were compared between the two groups. In total 304 patients (m-EMR = 178, ESD = 126) were included, with 218 in the matched groups (m-EMR = 109, ESD = 109). The R0 resection rate was not significantly different between the two groups (90.0% vs. 82.3%, P = .221). However, the procedural time was significantly shorter for the m-EMR group than that for the ESD group (6 vs. 26 min, P
- Published
- 2025
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