Endoscopic submucosal dissection is pivotal for early gastric cancer treatment

Endoscopic submucosal dissection (ESD) is crucial for early gastric cancer (EGC) management, often necessitating additional gastrectomy in cases deemed non-curative. Analysis of 134 patients revealed key factors such as deep submucosal invasion and positive margins that led to further surgical intervention. Notably, independent risk factors for lymph node metastasis included positive vertical margin and lymphatic invasion, indicating ESD’s significant role in both diagnosis and therapy for optimal EGC treatment.