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Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2025; 17(10): 108859
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.108859
Endoscopic submucosal dissection for early gastric cancer and precancerous lesions enhances postoperative recovery and mitigates complication risks
Min Fang, Jian-Hua Jiang, Dan-Dan Zhu, Fei-Xia Yu
Min Fang, Jian-Hua Jiang, Dan-Dan Zhu, Fei-Xia Yu, Endoscopy Center, The First People's Hospital of Fuyang District, Hangzhou 311400, Zhejiang Province, China
Author contributions: Fang M designed the research and wrote the first manuscript; Fang M, Jiang JH, Zhu DD and Yu FX contributed to conceiving the research and analyzing data; Fang M conducted the analysis and provided guidance for the research; all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of The First People's Hospital of Fuyang District.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: There is no conflict of interest.
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: Min Fang, Endoscopy Center, The First People's Hospital of Fuyang District, No. 937 Beihuan Road, Fuchun Sub-district, Fuyang District, Hangzhou 311400, Zhejiang Province, China. fangmin4540@126.com
Received: June 17, 2025
Revised: July 31, 2025
Accepted: August 27, 2025
Published online: October 27, 2025
Processing time: 128 Days and 23.3 Hours
Core Tip

Core Tip: This study examined how endoscopic submucosal dissection (ESD) influences postoperative recovery and complications in early gastric cancer (EGC) or precancerous lesions (PCLs). Compared with laparoscopic radical gastrectomy, performing ESD for treating EGC and PCLs led to superior en bloc resection, shortened surgical incision length, intraoperative bleeding reduction, and shorter operative duration. Moreover, it effectively accelerated postoperative recovery, lowered complications, and improved serum tumor marker expression.