Current status and application of endoscopic submucosal dissection for early gastric cancer
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摘要: 随着内镜治疗技术的发展,新的内镜下治疗器械的不断开发和应用以及人们健康意识的提高,越来越多的胃癌在早期阶段即被发现。开腹手术与腹腔镜手术治疗早期胃癌(early gastric cancer,EGC)均可取得令人满意的疗效。为提高患者术后生存质量以及降低并发症,早期胃癌在内镜下治疗逐渐被广泛应用。内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)在EGC诊疗中的应用越来越广泛,其5年总生存率可达90%;治疗效果具有创伤小、安全性高、患者依从性好、治疗成本低等特点。ESD有可能逐渐取代传统的外科手术,成为早期胃癌的主要治疗手段。本文就ESD在EGC中的临床应用进展进行综述。Abstract: Owing to technological developments in endoscopic treatment with continued development and application of newer endoscopic equipment, as well as improved health consciousness among patients, a greater number of patients are being diagnosed with early gastric cancer (EGC). Both laparotomy and laparoscopic surgery can achieve satisfactory results in the treatment of EGC. Patients undergoing endoscopic treatment for EGC showed improved quality of life postoperatively with lower complication rates. Endoscopic submucosal dissection (ESD) is being widely used to treat EGC, with an overall 5-year survival rate of 90%. Patients undergoing ESD showed better perioperative outcomes in terms of lesser physical trauma, higher safety, excellent patient compliance, and lower treatment costs. ESD may gradually replace conventional surgery as the primary treatment for EGC. This paper focuses on the clinical application of ESD in the management of EGC.
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[1] 陈万青, 孙可欣, 郑荣寿, 等.2014年中国分地区恶性肿瘤发病和死亡分析[J].中国肿瘤, 2018, 27(1):1-14. http://d.old.wanfangdata.com.cn/Periodical/zgzl201801001 [2] Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015 [J]. CA Cancer J Clin, 2016, 66(2):115-132. doi: 10.3322/caac.21338 [3] Facciorusso A, Antonino M, Di Maso M, et al. Endoscopic submucosal dissection vs endoscopic mucosal resection for early gastric cancer: A meta-analysis[J]. World J Gastrointest Endosc, 2014, 6(11):555-563. doi: 10.4253/wjge.v6.i11.555 [4] Ishikawa S, Togashi A, Inoue M, et al. Indications for EMR/ESD in cases of early gastric cancer: relationship between histological type, depth of wall invasion, and lymph node metastasis[J]. Gastric Cancer, 2007, 10(1):35-38. doi: 10.1007/s10120-006-0407-2 [5] Davies J, Johnston D, Sue-Ling H, et al. Total or subtotal gastrectomy for gastric carcinoma? A study of quality of life[J]. World J Surg, 1998, 22(10):1048-1055. doi: 10.1007/s002689900515 [6] Gotoda T, Yanagisawa A, Sasako M, et al. Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers[J]. Gastric Cancer, 2000, 3(4):219- 225. doi: 10.1007/PL00011720 [7] Hirasawa T, Gotoda T, Miyata S, et al. Incidence of lymph node metastasis and the feasibility of endoscopic resection for undifferentiated- type early gastric cancer[J]. Gastric Cancer, 2009, 12(3):148- 152. doi: 10.1007/s10120-009-0515-x [8] Japanese gastric cancer treatment guidelines 2014 (ver. 4)[J]. Gastric Cancer, 2017, 20(1): 1-19. [9] Isomoto H, Shikuwa S, Yamaguchi N, et al. Endoscopic submucosal dissection for early gastric cancer: a large-scale feasibility study[J]. Gut, 2009, 58(3):331-336. doi: 10.1136/gut.2008.165381 [10] Ahn JY, Jung HY, Choi KD, et al. Endoscopic and oncologic outcomes after endoscopic resection for early gastric cancer: 1 370 cases of absolute and extended indications[J]. Gastrointest Endosc, 2011, 74 (3):485-493. doi: 10.1016/j.gie.2011.04.038 [11] Tanaka M, Ono H, Hasuike N, et al. Endoscopic submucosal dissection of early gastric cancer[J]. Digestion, 2008, 77(Suppl 1):23-28. http://d.old.wanfangdata.com.cn/OAPaper/oai_doaj-articles_12020dd2c2ab318caa68661edaec3876 [12] Choi MK, Kim GH, Park DY, et al. Long-term outcomes of endoscopic submucosal dissection for early gastric cancer: a single-center experience[J]. Surg Endosc, 2013, 27(11):4250-4258. doi: 10.1007/s00464-013-3030-4 [13] Kosaka T, Endo M, Toya Y, et al. Long-term outcomes of endoscopic submucosal dissection for early gastric cancer: a single-center retrospective study[J]. Dig Endosc, 2014, 26(2):183-191. doi: 10.1111/den.2014.26.issue-2 [14] Cho JH, Cha SW, Kim HG, et al. Long-term outcomes of endoscopic submucosal dissection for early gastric cancer: a comparison study to surgery using propensity score-matched analysis[J]. Surg Endosc, 2016, 30(9):3762-3773. doi: 10.1007/s00464-015-4672-1 [15] Ryu SJ, Kim BW, Kim BG, et al. Endoscopic submucosal dissection versus surgical resection for early gastric cancer: a retrospective multicenter study on immediate and long- term outcome over 5 years[J]. Surg Endosc, 2016, 30(12):5283-5289. doi: 10.1007/s00464-016-4877-y [16] Tanabe S, Ishido K, Matsumoto T, et al. Long- term outcomes of endoscopic submucosal dissection for early gastric cancer: a multicenter collaborative study[J]. Gastric Cancer, 2017, 20(Suppl 1):45-52. http://cn.bing.com/academic/profile?id=6a73059684f49a84dc2bf1e918356ec7&encoded=0&v=paper_preview&mkt=zh-cn [17] Tanabe S, Hirabayashi S, Oda I, et al. Gastric cancer treated by endoscopic submucosal dissection or endoscopic mucosal resection in Japan from 2004 through 2006: JGCA nationwide registry conducted in 2013[J]. Gastric Cancer, 2017, 20(5):834-842. doi: 10.1007/s10120-017-0699-4 [18] Shin KY, Jeon SW, Cho KB, et al. Clinical outcomes of the endoscopic submucosal dissection of early gastric cancer are comparable between absolute and new expanded criteria[J]. Gut Liver, 2015, 9(2): 181-187. doi: 10.5009/gnl13417 [19] Ajani JA, D'Amico TA, Almhanna K, et al. Gastric Cancer, Version 3.2016, NCCN Clinical Practice Guidelines in Oncology[J]. J Natl Compr Canc Netw, 2016, 14(10):1286-1312. doi: 10.6004/jnccn.2016.0137 [20] Park YM, Cho E, Kang HY, et al. The effectiveness and safety of endoscopic submucosal dissection compared with endoscopic mucosal resection for early gastric cancer: a systematic review and metaanalysis[J]. Surg Endosc, 2011, 25(8):2666-2677. doi: 10.1007/s00464-011-1627-z [21] Tanabe S, Ishido K, Higuchi K, et al. Long- term outcomes of endoscopic submucosal dissection for early gastric cancer: a retrospective comparison with conventional endoscopic resection in a single center[J]. Gastric Cancer, 2014, 17(1):130-136. doi: 10.1007/s10120-013-0241-2 [22] Kwee RM, Kwee TC. Predicting lymph node status in early gastric cancer[J]. Gastric Cancer, 2008, 11(3):134-148. doi: 10.1007/s10120-008-0476-5 [23] Lee KS, Oh DK, Han MA, et al. Gastric cancer screening in Korea: re - port on the national cancer screening program in 2008[J]. Cancer Res Treat, 2011, 43(2): 83-88. doi: 10.4143/crt.2011.43.2.83 [24] 胃癌诊疗规范(2018年版)[J].肿瘤综合治疗电子杂志, 2019, 5(1): 55-82. [25] Kang HJ, Kim DH, Jeon TY, et al. Lymph node metastasis from intestinal-type early gastric cancer: experience in a single institution and reassessment of the extended criteria for endoscopic submucosal dissection[J]. Gastrointest Endosc, 2010, 72(3):508-515. doi: 10.1016/j.gie.2010.03.1077 [26] Wang H, Zhang H, Wang C, et al. Expanded endoscopic therapy criteria should be cautiously used in intramucosal gastric cancer[J]. Chin J Cancer Res, 2016, 28(3):348-354. doi: 10.21147/j.issn.1000-9604.2016.03.09 [27] Abe S, Oda I, Suzuki H, et al. Long-term surveillance and treatment outcomes of metachronous gastric cancer occurring after curative endoscopic submucosal dissection[J]. Endoscopy, 2015, 47(12):1113- 1118. doi: 10.1055/s-00000012 [28] Hosokawa O, Kaizaki Y, Watanabe K, et al. Endoscopic surveillance for gastric remnant cancer after early cancer surgery[J]. Endoscopy, 2002, 34(6):469-473. doi: 10.1055/s-2002-32007 [29] Hasuike N, Ono H, Boku N, et al. A non-randomized confirmatory trial of an expanded indication for endoscopic submucosal dissection for intestinal-type gastric cancer (cT1a): the Japan Clinical Oncology Group study (JCOG0607)[J]. Gastric Cancer, 2018, 21(1):114-123. doi: 10.1007/s10120-017-0704-y [30] Okada K, Yamamoto Y, Kasuga A, et al. Risk factors for delayed bleeding after endoscopic submucosal dissection for gastric neoplasm[J]. Surg Endosc, 2011, 25(1):98-107. doi: 10.1007/s00464-010-1137-4 [31] Lian J, Chen S, Zhang Y, et al. A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer[J]. Gastrointest Endosc, 2012, 76(4):763-770. doi: 10.1016/j.gie.2012.06.014 [32] Libanio D, Costa MN, Pimentel-Nunes P, et al. Risk factors for bleeding after gastric endoscopic submucosal dissection: a systematic review and meta- analysis[J]. Gastrointest Endosc, 2016, 84(4):572- 586. doi: 10.1016/j.gie.2016.06.033 [33] Shin WG, Kim SJ, Choi MH, et al. Can rebamipide and proton pump inhibitor combination therapy promote the healing of endoscopic submucosal dissection-induced ulcers? A randomized, prospective, multicenter study[J]. Gastrointest Endosc, 2012, 75(4):739-747. doi: 10.1016/j.gie.2011.11.004 [34] Minami S, Gotoda T, Ono H, et al. Complete endoscopic closure of gastric perforation induced by endoscopic resection of early gastric cancer using endoclips can prevent surgery (with video)[J]. Gastrointest Endosc, 2006, 63(4):596-601. doi: 10.1016/j.gie.2005.07.029 [35] Kakushima N, Fujishiro M. Endoscopic submucosal dissection for gastrointestinal neoplasms[J]. World J Gastroenterol, 2008, 14(19): 2962-2967. doi: 10.3748/wjg.14.2962 [36] Ohta T, Ishihara R, Uedo N, et al. Factors predicting perforation during endoscopic submucosal dissection for gastric cancer[J]. Gastrointest Endosc, 2012, 75(6):1159-1165. doi: 10.1016/j.gie.2012.02.015 [37] Coda S, Oda I, Gotoda T, et al. Risk factors for cardiac and pyloric stenosis after endoscopic submucosal dissection, and efficacy of endoscopic balloon dilation treatment[J]. Endoscopy, 2009, 41(5): 421-426. doi: 10.1055/s-0029-1214642 [38] Kim GH, Jee SR, Jang JY, et al. Stricture occurring after endoscopic submucosal dissection for esophageal and gastric tumors[J]. Clin Endosc, 2014, 47(6):516-522. doi: 10.5946/ce.2014.47.6.516 [39] Gotoda T. Endoscopic resection of early gastric cancer: the Japanese perspective[J]. Curr Opin Gastroenterol, 2006, 22(5):561-569. doi: 10.1097/01.mog.0000239873.06243.00 [40] Bae SE, Jung HY, Kang J, et al. Effect of Helicobacter pylori eradication on metachronous recurrence after endoscopic resection of gastric neoplasm[J]. Am J Gastroenterol, 2014, 109(1):60-67. doi: 10.1038/ajg.2013.404 [41] Watanabe K, Ogata S, Kawazoe S, et al. Clinical outcomes of EMR for gastric tumors: historical pilot evaluation between endoscopic submucosal dissection and conventional mucosal resection[J]. Gastrointest Endosc, 2006, 63(6):776-782. doi: 10.1016/j.gie.2005.08.049 [42] Ono H, Yao K, Fujishiro M, et al. Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer[J]. Dig Endosc, 2016, 28(1):3-15. doi: 10.1111/den.12518 [43] Kato M, Nishida T, Yamamoto K, et al. Scheduled endoscopic surveillance controls secondary cancer after curative endoscopic resection for early gastric cancer: a multicentre retrospective cohort study by Osaka University ESD study group[J]. Gut, 2013, 62(10): 1425-1432. doi: 10.1136/gutjnl-2011-301647 [44] Nakajima T, Oda I, Gotoda T, et al. Metachronous gastric cancers after endoscopic resection: how effective is annual endoscopic surveillance[J]? Gastric Cancer, 2006, 9(2):93-98. doi: 10.1007/s10120-006-0372-9 [45] Oda I, Oyama T, Abe S, et al. Preliminary results of multicenter questionnaire study on long-term outcomes of curative endoscopic submucosal dissection for early gastric cancer[J]. Dig Endosc, 2014, 26 (2):214-219. doi: 10.1111/den.2014.26.issue-2
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