Cai RS, Yang WZ, Cui GR. Associate factors for endoscopic submucosal dissection operation time and postoperative delayed hemorrhage of early gastric cancer. World J Gastrointest Surg 2023; 15(1): 94-104 [PMID: 36741071 DOI: 10.4240/wjgs.v15.i1.94]
Corresponding Author of This Article
Ren-Song Cai, BSc, MD, Attending Doctor, Digestive Endoscopy Department, the Second Affiliated Hospital of Hainan Medical University, No. 368 Yehai Avenue, Longhua District, Haikou 570311, Hainan Province, China. cairensong@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jan 27, 2023; 15(1): 94-104 Published online Jan 27, 2023. doi: 10.4240/wjgs.v15.i1.94
Associate factors for endoscopic submucosal dissection operation time and postoperative delayed hemorrhage of early gastric cancer
Ren-Song Cai, Wei-Zhong Yang, Guang-Rui Cui
Ren-Song Cai, Wei-Zhong Yang, Guang-Rui Cui, Digestive Endoscopy Department, the Second Affiliated Hospital of Hainan Medical University, Haikou 570311, Hainan Province, China
Author contributions: Cai RS designed this study, analyzed the data and drafted the manuscript; Yang WZ and Cui GR collected the data and reviewed the manuscript critically; all authors have read and approved the final manuscript version.
Institutional review board statement: The study was reviewed and approved by Ethics Committee of the Second Affiliated Hospital of Hainan Medical University.
Informed consent statement: The data used in this study were not involved in the patients’ privacy information, so the informed consent was waived by the Ethics Committee of Second Affiliated Hospital of Hainan Medical University. All patient data obtained, recorded, and managed only used for this study, and all patient information are strictly confidential, without any harm to the patient.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ren-Song Cai, BSc, MD, Attending Doctor, Digestive Endoscopy Department, the Second Affiliated Hospital of Hainan Medical University, No. 368 Yehai Avenue, Longhua District, Haikou 570311, Hainan Province, China. cairensong@126.com
Received: November 14, 2022 Peer-review started: November 14, 2022 First decision: December 1, 2022 Revised: December 6, 2022 Accepted: December 23, 2022 Article in press: December 23, 2022 Published online: January 27, 2023 Processing time: 65 Days and 5.4 Hours
Core Tip
Core Tip: Gastric cancer is a common malignant tumor of the digestive system worldwide. Endoscopic submucosal dissection (ESD) is the first-line treatment for early gastric cancer. However, the long operation time of ESD and its postoperative delayed hemorrhage are the major complications, which can cause more severe cardiovascular complications, such as bradycardia and hypotension. In this retrospective analysis study, the risk factors of long operation time and postoperative delayed hemorrhage were studied. Lesion diameter and shape, ulcer or scar, perforation, and invasion depth all affected the operation time, and lesion diameter, lesion shape, and ESD operation time were independent factors for the occurrence of delayed hemorrhage after ESD.
