Clinical outcomes of early gastric cancer with lymphovascular invasion or positive vertical resection margin after endoscopic submucosal dissection

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• 作者：Geum Youb Noh ; Ha Ra Ku ; Youn Joo Kim ; Su Cheol Park ; Jin Kim…
• 关键词：Early gastric cancer ; Endoscopic submucosal dissection ; Incomplete resection ; Lymphovascular invasion ; Positive vertical margins
• 刊名：Surgical Endoscopy
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：29
• 期：9
• 页码：2583-2589
• 全文大小：536 KB
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• 作者单位：Geum Youb Noh (1)
  Ha Ra Ku (1)
  Youn Joo Kim (1)
  Su Cheol Park (1)
  Jin Kim (1)
  Chul Ju Han (1)
  Yu Chul Kim (1)
  Ki Young Yang (1)
  
  1. Departments of Internal Medicine, Institute of Gastroenterology, Korea Cancer Center Hospital, 75 Nowon-ro, Nowon-gu, Seoul, 139-706, Korea
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Gynecology
  Gastroenterology
  Hepatology
  Proctology
  Abdominal Surgery
  
• 出版者：Springer New York
• ISSN：1432-2218

文摘

Background In early gastric cancer (EGC) cases with lymphovascular invasion or positive vertical margins after endoscopic submucosal dissection (ESD), additional radical gastrectomy is performed on principle. However, an additional surgery is often difficult to consider if the surgical approach itself is challenging or the patient refuses surgery. In such cases, only close surveillance is performed without additional surgical procedures. This study aimed to examine the difference in clinical prognosis of EGC cases with lymphovascular invasion or positive vertical margins after ESD either with or without surgery.