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Updated: Sep 20, 2026

Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions
Published on: April 28, 2026
[Review of endoscopic surgery for esophageal cancer]
Haruhiro Inoue1, Yoshitaka Sato, Satoshi Sugaya
1Digestive Disease Center, Showa University Northern Yokohama Hospital, 35-1 Chigasaki-chuo, Tsuzuki-ku, Yokohama 224-8503, Japan.
Abstract:
Our treatment strategy for esophageal cancer is as follows; mucosal cancer with the minimal risk of lymph node metastasis is treated by endoscopic mucosal resection (EMR). Submucosal cancer and more invasive lesions are surgically treated by thoraco- and aparoscopy-assisted esophagectomy. In May 1997, the first case received totally endoscopic esophagectomy, and which is survival with no tumor recurrence. Fifty consecutive cases successfully received endoscopic esophagectomy. This surgery should be performed as one major component of the multi-disciplinary treatment.
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