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Long Term Survival of Gastric Cancer Treated with ESD Tsuneo Oyama 1 , Masaki Tanaka 1 , Akihisa Tomori 1 , Kinichi Hotta 1 1Department of Gastroenterology, Saku Central Hospital Keyword: ESD , 胃癌 pp.87-90
Published Date 2006/1/25
DOI https://doi.org/10.11477/mf.1403100023
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 The ESD method has made it possible to resect large gastric cancers in onepiece. The Japanese gastric cancer association decided the indication for EMR to be differentiated adenocarcinoma whose invasion depth is as for as the mucosal layer and which doesn't have ulcers. However, although recently the indication has been expanding, long-term survival rate after ESD hasn't been clarified.

 Patients and methods : 68 patients had guideline-indicated cancer and 43 patients had extended-indication cancer. There was no significant difference between the background of the two groups. The mean observation period was 3.6 years and 3.8 years, respectively.

 Result : Complication, complete en-bloc resection rate, local recurrent rate, overall survival rate and cause-specific survival rate were investigated. There wasn't any significant difference between these two groups. Three-year survival rate was 95.2% in the indication group and 89.8% in the extended indication group. And cause-specific survival rate was 100% in both groups.

 Conclusion : The indication of ESD for early gastric cancer should be able to be extended.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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