Endoscopic Submucosal Dissection from the Standpoint of the Safety and Cost Effectiveness Toshiro Iizuka 1 , Naohisa Yahagi 1 1Department of Gastroenterology, Toranomon Hospital Keyword: ESD , トレーニングシステム , 経済性 pp.99-103
Published Date 2006/1/25
DOI https://doi.org/10.11477/mf.1403100025
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 Endoscopic submucosal dissection (ESD) is an epoch-making treatment for early gastric cancer, since it provides us reliable en bloc resection even if the tumors are larger than 2cm. Precise preoperative diagnosis especially of the tumor spread and the possibility for scope manipulation are essential for safe and reliable ESD. In addition, sufficient knowledge of ESD technique, animal model training, hands-on training and actual practice under the supervision of an expert in ESD technique are necessary if the necessary skills are to be acquired. ESD is at present not covered by health insurance, but we anticipate its approval, since QOL of the patient can be maintained and the technique has the potential to reduce overall medical costs.

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