Principles of endoscopic resection: Diagnostic and curative resection of mucosal neoplasias

Tsuneo Oyama, Naohisa Yahagi

研究成果: Chapter

1 被引用数 (Scopus)

抄録

Progress in endoscopic detection and analysis has set the stage for endoscopic cure of early cancers of the gastrointestinal tract. Endoscopic submucosal dissection (ESD) introduced the principle of oncosurgical en bloc resection to mucosal neoplasms providing resection R status and histological pT staging and grading. ESD aims for curative resection of mucosal cancer. The risk for local recurrence-with snare ablation in piecemeal fashion in the range of 15-35 %-is reduced close to zero after curative ESD. Accurate endoscopic analysis of mucosal neoplasias is indispensible for decision-making on ESD. Developed in Japan, ESD is now starting in Western countries. The entirely new technique imposes a learning curve on experienced interventional endoscopists with the goal to first achieve the level of competence-i.e. safety-and later the level of proficiency with rapid and safe tumour resection.

本文言語English
ホスト出版物のタイトルEarly Neoplasias of the Gastrointestinal Tract
ホスト出版物のサブタイトルEndoscopic Diagnosis and Therapeutic Decisions
出版社Springer US
ページ35-48
ページ数14
ISBN(電子版)9781461482925
ISBN(印刷版)1461482917, 9781461482918
DOI
出版ステータスPublished - 2013 7月 1

ASJC Scopus subject areas

  • 医学一般

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