TY - JOUR
T1 - Surgery Versus Endoscopic Mucosal Resection Versus Endoscopic Submucosal Dissection for Large Polyps
T2 - Making Sense of When to Use Which Approach
AU - Fukami, Norio
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/10
Y1 - 2019/10
N2 - Endoscopic resection for large colorectal lesion is effective and cost-saving than surgery. Piecemeal resections are often effective if applied meticulously but endoscopic submucosal dissection (ESD) allows meritorious removal of large lesions in one piece. For rectal lesions, transanal endoscopic microsurgery or transanal minimally invasive surgery offers more radical transmural resection but ESD is also effective for removal of complex rectal lesions. Surgical resection with lymph node dissection is the gold standard for invasive cancer; however, the management of low-risk early-stage colorectal cancer is worth debating. Treatment selection for large colorectal lesions is discussed based on lesion factor and treatment outcomes.
AB - Endoscopic resection for large colorectal lesion is effective and cost-saving than surgery. Piecemeal resections are often effective if applied meticulously but endoscopic submucosal dissection (ESD) allows meritorious removal of large lesions in one piece. For rectal lesions, transanal endoscopic microsurgery or transanal minimally invasive surgery offers more radical transmural resection but ESD is also effective for removal of complex rectal lesions. Surgical resection with lymph node dissection is the gold standard for invasive cancer; however, the management of low-risk early-stage colorectal cancer is worth debating. Treatment selection for large colorectal lesions is discussed based on lesion factor and treatment outcomes.
KW - EMR (endoscopic mucosal resection)
KW - ESD (endoscopic submucosal dissection)
KW - Large colon polyps
KW - TAMIS (transanal minimally invasive surgery)
KW - TEMS (transanal endoscopic microsurgery)
UR - http://www.scopus.com/inward/record.url?scp=85069866251&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85069866251&partnerID=8YFLogxK
U2 - 10.1016/j.giec.2019.06.007
DO - 10.1016/j.giec.2019.06.007
M3 - Review article
C2 - 31445690
AN - SCOPUS:85069866251
SN - 1052-5157
VL - 29
SP - 675
EP - 685
JO - Gastrointestinal Endoscopy Clinics of North America
JF - Gastrointestinal Endoscopy Clinics of North America
IS - 4
ER -