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Achkasov S.I.

State Research Centre of Coloproctology

Shelygin Yu.A.

Ryzhikh National Medical Research Centre for Coloproctology;
Russian Medical Academy of Continuous Professional Education

Likutov A.A.

Ryzhikh National Medical Research Center

Mtvralashvili D.A.

Multidisciplinary Clinic «Real Trans Hair T LLC»;
Ryzhikh State Scientific Center of Coloproctology

Veselov V.V.

Ryzhikh National Medical Research Center

Maynovskaya O.A.

Ryzhikh National Medical Research Center for Coloproctology

Nagudov M.A.

Ryzhikh National Medical Research Centre for Coloproctology

Chernyshov S.V.

Ryzhikh National Medical Research Center for Coloproctology

One thousand endoscopic submucosal dissections. Experience of the national center

Authors:

Achkasov S.I., Shelygin Yu.A., Likutov A.A., Mtvralashvili D.A., Veselov V.V., Maynovskaya O.A., Nagudov M.A., Chernyshov S.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(8): 5‑11

DOI: 10.17116/hirurgia20220815

Read: 2626 times

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Table of contents

ONE THOUSAND ENDOSCOPIC SUBMUCOSAL DISSECTIONS. EXPERIENCE OF THE NATIONAL CENTER
ONE THOUSAND ENDOSCOPIC SUBMUCOSAL DISSECTIONS. EXPERIENCE OF THE NATIONAL CENTER

To cite this article:

Achkasov SI, Shelygin YuA, Likutov AA, et al. . One thousand endoscopic submucosal dissections. Experience of the national center. Pirogov Russian Journal of Surgery. 2022;(8):5‑11. (In Russ.)
https://doi.org/10.17116/hirurgia20220815

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

BACKGROUND

Endoscopic submucosal dissection (ESD) is a perspective method of organ-sparing treatment of benign colon tumors.

MATERIAL AND METHODS

The study included 1.000 patients with colon neoplasms who underwent ESD between October 2016 and October 2021. All surgeries were performed under intravenous sedation.

RESULTS

Mean dimension of tumors was 3.4 cm, median of surgery time — 51 (31; 101) minutes. Conversion of endoscopic approach occurred in 7.6% of cases. The main cause of conversion was unsatisfactory lifting in submucosal injection process. Incidence of en bloc and R0 resections was 84.1% and 68.3%, respectively. Postoperative morbidity was 2.9% that correlates with the world literature data.

CONCLUSION

Endoscopic submucosal dissection is an effective and safe method for benign colon neoplasms. Considering high incidence of en bloc resection and low rate of local recurrence in benign neoplasms, further research of efficacy and safety of ESD in early colon cancer is needed.

Keywords:

endoscopic submucosal dissection
benign neoplasms
colon
ESD
1000 dissections

Authors:

Achkasov S.I.

State Research Centre of Coloproctology

Shelygin Yu.A.

Ryzhikh National Medical Research Centre for Coloproctology;
Russian Medical Academy of Continuous Professional Education

Likutov A.A.

Ryzhikh National Medical Research Center

Mtvralashvili D.A.

Multidisciplinary Clinic «Real Trans Hair T LLC»;
Ryzhikh State Scientific Center of Coloproctology

Veselov V.V.

Ryzhikh National Medical Research Center

Maynovskaya O.A.

Ryzhikh National Medical Research Center for Coloproctology

Nagudov M.A.

Ryzhikh National Medical Research Centre for Coloproctology

Chernyshov S.V.

Ryzhikh National Medical Research Center for Coloproctology

Received:

26.04.2022

Accepted:

11.05.2022

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References:

  1. Kim ER, Chang DK. Management of Complications of Colorectal Submucosal Dissection. Clinical Endoscopy. 2019;52(2):114-119.  https://doi.org/10.5946/ce.2019.063
  2. Likutov AA, Mtvralashvili DA, Nagudov MA, Yugai OM, Vaganov YE, Chernyshov SV, Mainovskaya OA. Factors limiting the endoscopic submucosal dissection in colorectal tumors. Koloproctologia. 2021;20(2):50-56. (In Russ.). https://doi.org/10.33878/2073-7556-2021-20-2-50-56
  3. Early rectal cancer: can transanal endoscopic microsurgery (TEM) become the standard treatment? Annals of the russian academy of medical sciences. 2016;71(4):323-331. (In Russ.). https://doi.org/10.15690/vramn719
  4. Paris Workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon. Gastrointestinal endoscopy. 2003;58(6):3-43.  https://doi.org/10.1016/s0016-5107(03)02159-x
  5. Kudo S, Hirota S, Nakajima T. Colorectal tumours and pit pattern. Journal of Clinical Pathology. 1994;47:880-885.  https://doi.org/10.1136/jcp.47.10.880
  6. Sano Y, Ikematsu H, Fu KI, Emura F. Meshed capillary vessels by use of narrow-band imaging for differential diagnosis of small colorectal polyps. Gastrointest Endosc. 2009;69(2):278-283.  https://doi.org/10.1016/j.gie.2008.04.066
  7. Calderwood A, Jacobson B. Comprehensive validation of the Boston Bowel Preparation Scale. Gastrointestinal Endoscopy. 2010;72(4):686-692.  https://doi.org/10.1016/j.gie.2010.06.068
  8. UICC. TNM classification of malignant tumours, 8th edn. New York, NY: John Wiley & Sons Ltd; 2017. [Google Scholar].
  9. Aarons C, Shanmugan S, Bleier J. Management of malignant colon polyps: current status and controversies. World J Gastroenterol. 2014;20(43):16178-16183. https://doi.org/10.3748/wjg.v20.i43.16178
  10. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205-213.  https://doi.org/10.1097/01.sla.0000133083.54934.ae
  11. Thorlacius H, Rönnow CF, Toth E. European experience of colorectal endoscopic submucosal dissection: a systematic review of clinical efficacy and safety. Acta Oncol. 2019;58(1):10-14.  https://doi.org/10.1080/0284186X.2019.1568547
  12. Fleischmann C, Probst A, Ebigbo A, Faiss S, Schumacher B, Allgaier HP, Dumoulin FL, Steinbrueck I, Anzinger M, Marienhagen J, Muzalyova A, Messmann H. Endoscopic Submucosal Dissection in Europe: Results of 1000 Neoplastic Lesions From the German Endoscopic Submucosal Dissection Registry. Gastroenterology. 2021;161(4):1168-1178. https://doi.org/10.1053/j.gastro.2021.06.049
  13. Chung IK, Lee JH, Lee SH, Kim SJ, Cho JY, Cho WY, Hwangbo Y, Keum BR, Park JJ, Chun HJ, Kim HJ, Kim JJ, Ji SR, Seol SY. Therapeutic outcomes in 1000 cases of endoscopic submucosal dissection for early gastric neoplasms: Korean ESD Study Group multicenter study. Gastrointest Endosc. 2009;69(7):1228-1235. https://doi.org/10.1016/j.gie.2008.09.027
  14. Lim XC, Nistala KRY, Ng CH, Lin SY, Tan DJH, Ho KY, Chong CS, Muthiah M. Endoscopic submucosal dissection vs endoscopic mucosal resection for colorectal polyps: A meta-analysis and meta-regression with single arm analysis. World J Gastroenterol. 2021;27(25):3925-3939. https://doi.org/10.3748/wjg.v27.i25.3925
  15. Hori K, Uraoka T, Harada K et al. Predictive factors for technically difficult endoscopic submucosal dissection in the colorectum. Endoscopy. 2014;46:862-870.  https://doi.org/10.1055/s-0034-1377205
  16. Seo M, Yang DH, Kim J, Song EM, Kim GU, Hwang SW, Park SH, Kim KJ, Ye BD, Byeon JS, Myung SJ, Yang SK. Clinical outcomes of colorectal endoscopic submucosal dissection and risk factors associated with piecemeal resection. Turk J Gastroenterol. 2018;29(4):473-480.  https://doi.org/10.5152/tjg.2018.17400
  17. Yamada M, Saito Y, Takamaru H, et al. Long-term clinical outcomes of endoscopic submucosal dissection for colorectal neoplasms in 423 cases: a retrospective study. Endoscopy. 2017;49:233-242.  https://doi.org/10.1055/s-0042-124366
  18. Arezzo A, Passera R, Marchese N, Galloro G,Manta R, Cirocchi R. Systematic review and meta-analysis of endoscopic submucosal dissection vs endoscopic mucosal resection for colorectal lesions. United European Gastroenterol J. 2016;4(1):18-29.  https://doi.org/10.1177/2050640615585470
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