Вестник хирургии имени И.И. Грекова (Feb 2017)

ENDOSCOPIC SUBMUCOSAL DISSECTION AS CHOICE OF TREATMENT OF EARLY GASTRIC CANCER

  • M. V. Armasheva,
  • V. N. Klimenko,
  • A. M. Shcherbakov,
  • O. B. Tkachenko

DOI
https://doi.org/10.24884/0042-4625-2017-176-1-25-29
Journal volume & issue
Vol. 176, no. 1
pp. 25 – 29

Abstract

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The authors evaluated the efficacy of endoscopic submucosal dissection in treatment of early gastric cancer. The study included 60 patients who underwent endoscopic submucosal dissection in cases of differentiated early gastric cancer. RESULTS. The radical surgeries were performed on 59 (98,3%). Complications were noted in 9 (14,9%) of cases and they were removed by endoscopic method. The early recovery period consisted of 24 hours. There weren’t observed any local recurrence or progression of the disease during 6-48 months of follow-up study. The method efficacy was 98,3%. The authors have taken into account the results of the study and a literature analysis. Endoscopic submucosal dissection is the choice of treatment strategy in case of early gastric cancer T1aN0M0 and T1bN0M0 in differentiated adenocarcinoma. The method is highly effective and relatively safe. This approach corresponds with oncological principles of radicalism, thus it reduces the rate of postoperative complications and the period of social rehabilitation of patients. The surgery maintains the high quality of life after treatment without decline of long term results.

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