Initial results of endoscopic submucosal dissection (ESD) for the treatment of early gastrointestinal cancers and precancerous lesions at the Endoscopy Center – Hanoi Medical University Hospital
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Abstract
Methods: A prospective descriptive study was conducted on patients diagnosed with early gastrointestinal cancers or precancerous lesions treated by Endoscopic Submucosal Dissection (ESD) at the Endoscopy Center – Hanoi Medical University Hospital from January 2025 to December 2025. The study aimed to evaluate the initial outcomes and safety of this technique. Results: The mean age of the patients was 63.67 ± 11.53 years old. The average lesion size was 28.76 ± 14.3 mm. Lesions located in the rectum accounted for 40.57%. The en-bloc resection rate reached 94.34%, and the R0 resection rate was 88.68%. The median procedure time was 60 minutes (IQR: 45 – 85 minutes). Complication rates for bleeding and perforation were 2.83% and 3.77%, respectively; most cases were successfully managed via endoscopy and conservative medical treatment. Conclusion: ESD is a safe, effective intervention that allows for the radical resection of early gastrointestinal cancers and precancerous lesions.
Article Details
Keywords
Early cancer, dysplasia, endoscopic submucosal dissection, Hanoi Medical University Hospital
References
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