ArticleSurgical endoscopy2023
Learning curve of endoscopic submucosal dissection (ESD) with prevalence-based indication in unsupervised Western settings: a retrospective multicenter analysis.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Transanal robotic versus endoscopic submucosal dissection for complex distal colorectal lesions: a comparative study.Surgical endoscopy · 2026Article
- Endorobotic submucosal dissection using the da Vinci SP system: a 101-case experience in robotic transanal surgery.Surgical endoscopy · 2026Article
- Comparison of Endoscopic Therapies for Small Rectal Neuroendocrine Tumors: Endoscopic Muscularis Superficialis Dissection Versus Endoscopic Submucosal Dissection.JGH open : an open access journal of gastroenterology and hepatology · 2026Article
- Clinical Endoscopic Submucosal Dissection of Trainees Tutored by Experts-ESGE Endorsed Courses and Live Endoscopic Events 2011-2015.Journal of clinical medicine · 2026Article
- Laparoscopic and endoscopic cooperative surgery in gastrointestinal tumors: current applications, oncologic considerations, and future directions.Frontiers in oncology · 2026Review
- Robot-assisted versus conventional endoscopic submucosal dissection: a systematic review and meta-analysis.Therapeutic advances in gastroenterology · 2026Review
- Renji endoscopic submucosal dissection video data set for Esophagus.Scientific data · 2025Article
- A prediction score model of difficult endoscopic submucosal dissection for early esophageal cancer and precancerous lesions.Annals of medicine · 2025Article
- Safety and Efficacy of Gastric Endoscopic Submucosal Dissection in a Non-academic Western Center.Journal of gastrointestinal cancer · 2025Article
- Article
- Clinical audit of endoscopic sub-mucosal dissection performed for complex lateral spreading colorectal tumors from a region non-endemic for colorectal cancer.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024Article
- Endoscopic submucosal dissection for early gastric cancer: A major challenge for the west.World journal of gastrointestinal surgery · 2024Article
- Effectiveness of Strategy-Focused Training in Colorectal Endoscopic Submucosal Dissection: A Retrospective Observational Study.Digestive diseases and sciences · 2024Observational
- Endoscopic Resections for Barrett's Neoplasia: A Long-Term, Single-Center Follow-Up Study.Medicina (Kaunas, Lithuania) · 2024Article
- Retrospective Analysis of Rectal Endoscopic Submucosal Dissection at Ordensklinikum Linz and Kepler Universitätsklinikum Linz.Journal of clinical medicine · 2024Article
- Implementation of endoscopic submucosal dissection in Europe: survey after 10 ESD Expert Training Workshops, 2009 to 2018.iGIE : innovation, investigation and insights · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsAs there is still no consensus about the adequate training strategy for ESD in Western countries, we evaluated unsupervised prevalence-based learning curves including detailed organ-specific subgroup analysis.
methodsThe first 120 ESDs of four operators (n = 480) were divided into three groups (1: ESD 1-40, 2: ESD 41-80, 3: ESD 81-120). Outcome parameters were rates of technical success, en bloc and R0 resection, the resection speed, rates of conversion to EMR, curative resection, adverse events, surgery due to adverse events, and recurrence. In addition, we analyzed the achievement of quality benchmarks indicating levels of expertise.
resultsAfter exclusion of pretreated lesions, 438 procedures were enrolled in the final analysis. Technical success rates were > 96% with significant improvements regarding rate of en bloc resection (from 82.6 to 91.2%), resection speed (from 4.54 to 7.63 cm
conclusionsThis trial confirms safety and feasibility of unsupervised ESD along the initial learning curve with prevalence-based indication and exclusion of colonic cases.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.