Trial reportGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2020
Factors associated with technical difficulty of endoscopic submucosal dissection for early gastric cancer that met the expanded indication criteria: post hoc analysis of a multi-institutional prospective confirmatory trial (JCOG0607).
Trial report in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 1): AN UPDATE ON DIAGNOSIS, STAGING, ENDOSCOPIC TREATMENT AND FOLLOW-UP.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2020Guideline
- Factors associated with technical difficulty in endoscopic submucosal dissection for undifferentiated early gastric cancer: post hoc analysis of JCOG1009/1010.Surgical endoscopy · 2026Trial
- Clinical Outcomes of Rubber-clip-assisted Versus Conventional Colorectal Endoscopic Submucosal Dissection: A Retrospective Study.DEN open · 2027Article
- Pulley traction in endoscopic submucosal dissection of lesions in the upper two-thirds of the stomach: a retrospective study (with video).Surgical endoscopy · 2026Article
- Mastering gastric endoscopic submucosal dissection: A learning curve analysis of over 100 consecutive cases performed by Western endoscopist.World journal of gastrointestinal endoscopy · 2026Article
- A Hybrid Laparoscopic-Endoscopic Approach Enabling Endoscopic Submucosal Dissection for Early Gastric Cancer in a Patient with a Large Hiatal Hernia: A Case Report.Surgical case reports · 2026Article
- Dialysis, Antithrombotics, and Lesion Location: Who Benefits Most from Gel Immersion Endoscopy in Gastric Endoscopic Submucosal Dissection?Digestion · 2026Article
- Development of a predictive model for surgical difficulty assessment in distal gastrectomy of advanced gastric carcinoma using LASSO-random forest integrated algorithm.Surgical endoscopy · 2025Article
- Can the Japanese guidelines for endoscopic submucosal dissection be safely applied to Korean gastric cancer patients? A multicenter retrospective study based on the Korean Gastric Cancer Association nationwide survey.Annals of surgical treatment and research · 2025Article
- Impact of gastric neoplasms location on clinical outcome of patients treated by endoscopic submucosal dissection.World journal of gastrointestinal endoscopy · 2025Article
- Case Report: Endoscopic submucosal tunneling dissection using a golden knife for a giant gastric cancer lesion: a case report and literature review.Frontiers in oncology · 2025Article
- Efficacy of a novel traction method: outside-lesion clip-thread method for gastric endoscopic submucosal dissection of lesions of the greater curvature of the upper/middle stomach (with video).Surgical endoscopy · 2024Article
- A Retrospective Study of 290 Patients with Resectable Benign and Malignant Gastric Neoplasms to Compare Postoperative Outcomes of Endoscopic Resection with and without the Internal Traction Method Using a Spring-and-Loop with Clip (S-O Clip).Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Novel gastric endoscopic submucosal dissection training model enhances the endoscopic submucosal dissection skills of trainees: a multicenter comparative study.Surgical endoscopy · 2024Article
- Associations between Clinicopathological Characteristics and Intraoperative Opioid Requirements during Endoscopic Submucosal Dissection with Monitored Anesthesia Care: A Retrospective Study.Journal of clinical medicine · 2024Article
- Robot-assisted gastric endoscopic submucosal dissection significantly improves procedure time at challenging dissection locations.Surgical endoscopy · 2024Article
- Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection.Journal of clinical medicine · 2023Review
- Endoscopic submucosal dissection for lesions involving the anastomosis after upper gastrointestinal surgery.Surgical endoscopy · 2023Article
- Usefulness of the combined orthodontic rubber band and clip method for gastric endoscopic submucosal dissection.BMC gastroenterology · 2022Article
- Effective Retrograde Dissection by the Floating Tongue-Like Flap Method for Gastric Neoplasm Involving the Pyloric Channel.Gut and liver · 2022Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
backgroundThere are few reports on the technical difficulty of gastric endoscopic submucosal dissection (ESD). The aim of this study was to investigate the factors associated with the technical difficulty of ESD for early gastric cancer (EGC) using the data from the multicenter non-randomized confirmatory trial of expanded indication criteria of ESD (JCOG0607).
methodsThe major inclusion criteria were as follows: (1) histologically proven intestinal-type adenocarcinoma; (2) cT1aN0M0; (3) lesion without finding of ulcer (UL-negative) with > 2 cm in size, or UL-positive with ≤ 3 cm; (4) age 20-75 years. The difficult case was defined as ESD taking ≥ 120 min, piecemeal resection, and/or developing perforation during procedure.
resultsBetween June 2007 and October 2010, 470 patients were enrolled from 29 institutions. Median procedure time was 79 (range 14-462) min, and it was ≥ 120 min in 127 patients. Twelve patients developed perforation during ESD, and the procedure time was ≥ 120 min in 9 of them. Therefore, 130 patients (27.7%) were identified as difficult cases. Multivariable analysis showed that UL-negative with > 5 cm (vs. UL-negative with ≤ 3 cm, odds ratio, 24.993; 95% CI 6.130-101.897, p < 0.0001) had the largest odds ratio and followed by UL-negative with 3-5 cm upper or middle portion of stomach and age ≤ 60 years were significantly associated with difficulty.
conclusionsUL-negative lesion with > 3 cm, upper or middle portion of stomach and age ≤ 60 years were independent factors associated with technical difficulty of ESD for EGC. Trial registered number was UMIN000000737.
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