Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile

Background: Endoscopic submucosal dissection (ESD) is a minimally invasive procedure that allows curative treatment of early gastric cancer (EGC) in selected patients. Aim: To report our initial experience with ESD. Material and Methods: Analysis of prospective data from 16 patients aged 61 to 84 ye...

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Autores principales:	Donoso D,Andrés, Sharp,Allan, Parra-Blanco,Adolfo, Roa,Juan Carlos, Bächler,Jean Phillipe, Crovari,Fernando, Funke,Ricardo, Pimentel,Fernando, Ibáñez,Luis, Guzmán,Sergio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2015
Materias:	Endoscopy, digestive system Early detection of cancer Minimally invasive surgical procedures Stomach neoplasms
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015001000006
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spelling	oai:scielo:S0034-988720150010000062015-12-03Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de ChileDonoso D,AndrésSharp,AllanParra-Blanco,AdolfoRoa,Juan CarlosBächler,Jean PhillipeCrovari,FernandoFunke,RicardoPimentel,FernandoIbáñez,LuisGuzmán,Sergio Endoscopy, digestive system Early detection of cancer Minimally invasive surgical procedures Stomach neoplasms Background: Endoscopic submucosal dissection (ESD) is a minimally invasive procedure that allows curative treatment of early gastric cancer (EGC) in selected patients. Aim: To report our initial experience with ESD. Material and Methods: Analysis of prospective data from 16 patients aged 61 to 84 years, who underwent ESD between December 2011 and June 2014. Tumor type, operative time, hospitalization length, oncologic outcomes, complications and short-term follow up were registered. Results: En-block resection was achieved in all cases. The median operative time was 135 min (range: 50-320 min). Specimens' median size was 3.5 cm (range: 3-10). All the resections were R0. In 14 patients ESD was considered curative. In two patients, ESD was considered potentially non-curative due to the presence pathological risk factors for lymph-node metastases in the biopsy specimen. Both patients underwent laparoscopic gastrectomy with lymph-node dissection. There was one case of gastric wall perforation that was repaired by laparoscopic suture. There was no mortality. The median follow-up time was 15 months (range: 2-30 months). Conclusions: ESD is a feasible and safe procedure in our institution with good results in this initial experience.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.10 20152015-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015001000006es10.4067/S0034-98872015001000006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Endoscopy, digestive system Early detection of cancer Minimally invasive surgical procedures Stomach neoplasms
spellingShingle	Endoscopy, digestive system Early detection of cancer Minimally invasive surgical procedures Stomach neoplasms Donoso D,Andrés Sharp,Allan Parra-Blanco,Adolfo Roa,Juan Carlos Bächler,Jean Phillipe Crovari,Fernando Funke,Ricardo Pimentel,Fernando Ibáñez,Luis Guzmán,Sergio Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile
description	Background: Endoscopic submucosal dissection (ESD) is a minimally invasive procedure that allows curative treatment of early gastric cancer (EGC) in selected patients. Aim: To report our initial experience with ESD. Material and Methods: Analysis of prospective data from 16 patients aged 61 to 84 years, who underwent ESD between December 2011 and June 2014. Tumor type, operative time, hospitalization length, oncologic outcomes, complications and short-term follow up were registered. Results: En-block resection was achieved in all cases. The median operative time was 135 min (range: 50-320 min). Specimens' median size was 3.5 cm (range: 3-10). All the resections were R0. In 14 patients ESD was considered curative. In two patients, ESD was considered potentially non-curative due to the presence pathological risk factors for lymph-node metastases in the biopsy specimen. Both patients underwent laparoscopic gastrectomy with lymph-node dissection. There was one case of gastric wall perforation that was repaired by laparoscopic suture. There was no mortality. The median follow-up time was 15 months (range: 2-30 months). Conclusions: ESD is a feasible and safe procedure in our institution with good results in this initial experience.
author	Donoso D,Andrés Sharp,Allan Parra-Blanco,Adolfo Roa,Juan Carlos Bächler,Jean Phillipe Crovari,Fernando Funke,Ricardo Pimentel,Fernando Ibáñez,Luis Guzmán,Sergio
author_facet	Donoso D,Andrés Sharp,Allan Parra-Blanco,Adolfo Roa,Juan Carlos Bächler,Jean Phillipe Crovari,Fernando Funke,Ricardo Pimentel,Fernando Ibáñez,Luis Guzmán,Sergio
author_sort	Donoso D,Andrés
title	Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile
title_short	Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile
title_full	Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile
title_fullStr	Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile
title_full_unstemmed	Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile
title_sort	disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el hospital clínico de la pontificia universidad católica de chile
publisher	Sociedad Médica de Santiago
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015001000006
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Disección submucosa endoscópica en cáncer gástrico incipiente: experiencia inicial en el Hospital Clínico de la Pontificia Universidad Católica de Chile

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