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Salvage endoscopic resection for cT1N0M0 local recurrence after chemoradiotherapy for esophageal squamous cell carcinoma: endoscopic submucosal dissection versus endoscopic mucosal resection

Authors :
Keiichiro Nakajo
Yusuke Yoda
Hiroki Yamashita
Kenji Takashima
Tatsuro Murano
Tomohiro Kadota
Kensuke Shinmura
Hiroaki Ikematsu
Tetsuo Akimoto
Tomonori Yano
Source :
Japanese journal of clinical oncology. 52(9)
Publication Year :
2022

Abstract

Objectives Salvage endoscopic resection is recommended when the local recurrence at primary site after chemoradiotherapy for esophageal squamous cell carcinoma is localized and superficial. This retrospective study aimed to comparatively analyse the short-term outcomes and local control of salvage endoscopic submucosal dissection versus salvage endoscopic mucosal resection for local recurrence after chemoradiotherapy or radiotherapy. Methods A total of 96 patients who underwent initial salvage endoscopic resection for cT1N0M0 local recurrence after chemoradiotherapy or radiotherapy for esophageal squamous cell carcinoma between December 1998 and August 2019 patients were assigned to either the salvage endoscopic submucosal dissection (40 patients; 40 lesions) or salvage endoscopic mucosal resection (56 patients; 56 lesions) group. We evaluated the en bloc and R0 resection rates, severe adverse events and local failure rate after salvage endoscopic resection. Multivariate analysis was conducted to identify risk factors of local failure after salvage endoscopic resection. Results The en bloc resection rate was significantly higher in the salvage endoscopic submucosal dissection group than in the salvage endoscopic mucosal resection group (95% versus 63%; P Conclusions Salvage endoscopic submucosal dissection is the effective treatment for local recurrence based on the short-term outcomes and local efficacy.

Details

ISSN :
14653621
Volume :
52
Issue :
9
Database :
OpenAIRE
Journal :
Japanese journal of clinical oncology
Accession number :
edsair.doi.dedup.....43a56b92c743253a015edb752f847e0b