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Comparison of the Efficacy and Prognostic Factors of Endoscopic Submucosal Dissection with Different Procedures for

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    Endoscopic submucosal dissection (ESD) and endoscopic submucosal resection (ESR) are effective for colorectal neuroendocrine tumors (NETs). Both methods show similar survival outcomes, but ESD may offer advantages for larger tumors.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Endoscopy

    Background:

    • Colorectal neuroendocrine tumors (NETs) require effective treatment strategies.
    • Endoscopic submucosal dissection (ESD) and endoscopic submucosal resection (ESR) are minimally invasive endoscopic techniques used for NET removal.

    Purpose of the Study:

    • To compare the clinical efficacy, prognostic factors, and survival impact of ESD versus ESR in patients with colorectal NETs.

    Main Methods:

    • A retrospective analysis of 118 patients with colorectal NETs treated between 2012 and 2020.
    • Patients were divided into ESD (n=59) and ESR (n=59) groups.
    • Logistic regression analysis was used to identify factors influencing tumor recurrence.

    Main Results:

    • No significant differences were observed in en bloc resection, complete histological resection rates, or postoperative complications between ESD and ESR.
    • Tumor diameter, grade, and resection margin status were significant predictors of recurrence.
    • No significant differences in distant metastasis, survival rates, or mortality were found between the groups.

    Conclusions:

    • Both ESD and ESR demonstrate high clinical efficacy for colorectal NETs, with comparable long-term survival and prognostic impact.
    • ESD's precise tissue removal may make it more suitable for larger tumors.
    • Further research on 3- and 5-year outcomes is recommended to validate findings.