Subepithelial tumors: How does endoscopic full-thickness resection & submucosal tunneling with endoscopic resection compare with laparoscopic endoscopic cooperative surgery?

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorKAHALEH, Michel
dc.contributor.authorBHAGAT, Vicky
dc.contributor.authorDELLATORE, Peter
dc.contributor.authorTYBERG, Amy
dc.contributor.authorSARKAR, Avik
dc.contributor.authorSHAHID, Haroon M.
dc.contributor.authorANDALIB, Iman
dc.contributor.authorALKHIARI, Resheed
dc.contributor.authorGAIDHANE, Monica
dc.contributor.authorKEDIA, Prashant
dc.contributor.authorNIETO, Jose
dc.contributor.authorKUMTA, Nikhil A.
dc.contributor.authorDIXON, Rebekah E.
dc.contributor.authorSALAMEH, Habeeb
dc.contributor.authorMAVROGENIS, Georgios
dc.contributor.authorBASSIOUKAS, Stefanos
dc.contributor.authorABE, Seiichiro
dc.contributor.authorARENTES, Vitor N.
dc.contributor.authorMORITA, Flavio H.
dc.contributor.authorSAKAI, Paulo
dc.contributor.authorMOURA, Eduardo G. de
dc.date.accessioned2022-12-21T13:21:54Z
dc.date.available2022-12-21T13:21:54Z
dc.date.issued2022
dc.description.abstractBackground and study aims Endoscopic techniques are rapidly emerging for resection of subepithelial tumors (SETs). Submucosal tunneling for endoscopic resection (STER), endoscopic full-thickness resection (EFTR) and laparoscopic endoscopic cooperative surgery (LECS) are current alternatives to open surgery. In this study, we aimed to compare the three endoscopic techniques. Patients and methods Consecutive patients who underwent resection of a submucosal esophageal or gastric lesion at several tertiary care centers were included in a dedicated registry over 3 years. Demographics, size and location of resected lesion, histology of specimen, length of procedure, adverse events (AEs), duration of hospital stay, and follow-up data were collected. Results Ninety-six patients were included (47.7 % male, mean age 62): STER n = 34, EFTR n = 34, LECS n = 280. The lesions included leiomyoma, gastrointestinal stromal tumors (GISTs) and other. The mean lesion size was 28 mm (STD 16, range 20-72 mm). The majority of lesions in the EFTR and laparoscopic-assisted resection group were GISTs. There was no significant difference in clear resection margins, post-procedure complication rates, recurrence rate and total follow-up duration between the groups. However, the LECS group had a procedure time at least 30 minutes longer than STER or EFTR ( P < 0.01). Total hospital stay for the laparoscopic-assisted resection group was also longer when compared to STER (1.5) and EFTR (1.8) ( P < 0.01). Conclusions STER, EFTR, and laparoscopic-assisted resection are efficacious approaches for resection of SETs with similar R0 resection rates, complication rates, and AE rates. Laparoscopic assisted resection appears more time-consuming and is associated with a longer hospital stay.eng
dc.description.indexPubMedeng
dc.identifier.citationENDOSCOPY INTERNATIONAL OPEN, v.10, n.11, p.E1491-E1496, 2022
dc.identifier.doi10.1055/a-1922-7890
dc.identifier.eissn2196-9736
dc.identifier.issn2364-3722
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/50520
dc.language.isoeng
dc.publisherGEORG THIEME VERLAG KGeng
dc.relation.ispartofEndoscopy International Open
dc.rightsopenAccesseng
dc.rights.holderCopyright GEORG THIEME VERLAG KGeng
dc.subject.othermuscularis propria layereng
dc.subject.otherdissectioneng
dc.subject.otherclosureeng
dc.subject.otherdiagnosiseng
dc.subject.otherbenigneng
dc.subject.otherclipeng
dc.subject.wosGastroenterology & Hepatologyeng
dc.subject.wosSurgeryeng
dc.titleSubepithelial tumors: How does endoscopic full-thickness resection & submucosal tunneling with endoscopic resection compare with laparoscopic endoscopic cooperative surgery?eng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryGrécia
hcfmusp.affiliation.countryJapão
hcfmusp.affiliation.countryisojp
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisogr
hcfmusp.author.externalKAHALEH, Michel:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA; Robert Wood Johnson Univ Hosp, Med, 51 French St,MEB 479, New Brunswick, NJ 08901 USA; Robert Wood Johnson Univ Hosp, Gastroenterol, 51 French St,MEB 479, New Brunswick, NJ 08901 USA
hcfmusp.author.externalBHAGAT, Vicky:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA
hcfmusp.author.externalDELLATORE, Peter:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA
hcfmusp.author.externalTYBERG, Amy:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA
hcfmusp.author.externalSARKAR, Avik:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA
hcfmusp.author.externalSHAHID, Haroon M.:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA
hcfmusp.author.externalANDALIB, Iman:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA
hcfmusp.author.externalALKHIARI, Resheed:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA
hcfmusp.author.externalGAIDHANE, Monica:Robert Wood Johnson Univ, Gastroenterol, New Brunswick, NJ USA
hcfmusp.author.externalKEDIA, Prashant:Methodist Hosp, Gastroenterol, Dallas, TX USA
hcfmusp.author.externalNIETO, Jose:Borland Groover Clin, Jacksonville, FL USA
hcfmusp.author.externalKUMTA, Nikhil A.:Mt Sinai Hosp, Gastroenterol, New York, NY USA
hcfmusp.author.externalDIXON, Rebekah E.:Mt Sinai Hosp, Gastroenterol, New York, NY USA
hcfmusp.author.externalSALAMEH, Habeeb:Mt Sinai Hosp, Gastroenterol, New York, NY USA
hcfmusp.author.externalMAVROGENIS, Georgios:Mytilene Hosp, Gastroenterol, Mitilini, Greece
hcfmusp.author.externalBASSIOUKAS, Stefanos:Latpikin, Gastroenterol, Athens, Greece
hcfmusp.author.externalABE, Seiichiro:Natl Canc Ctr, Endoscopy Div, Tokyo, Japan
hcfmusp.author.externalARENTES, Vitor N.:Univ Fed Minas Gerais, Belo Horizonte, MG, Brazil
hcfmusp.author.externalMORITA, Flavio H.:Univ Sao Paulo, Gastroenterol, Med Sch, Sao Paulo, Brazil
hcfmusp.contributor.author-fmusphcPAULO SAKAI
hcfmusp.contributor.author-fmusphcEDUARDO GUIMARAES HOURNEAUX DE MOURA
hcfmusp.description.beginpageE1491
hcfmusp.description.endpageE1496
hcfmusp.description.issue11
hcfmusp.description.volume10
hcfmusp.origemWOS
hcfmusp.origem.pubmed36397865
hcfmusp.origem.wosWOS:000885390000009
hcfmusp.publisher.citySTUTTGARTeng
hcfmusp.publisher.countryGERMANYeng
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