A study on endoscopic intermuscular dissection (EID) for deep submucosal invasive rectal cancer (d-smic) reports encouraging three-year outcomes. The procedure achieved a 94.1% en bloc resection and 82.5% R0 resection rates. In low-risk patients under active surveillance, locoregional recurrence rates were low (7%), while intermediate-risk had a 13% rate, all salvageable. Notably, there were no distant recurrences or cancer-specific deaths across all groups, suggesting EID may reduce the need for radical surgeries.
Journal Article by van der Schee L, Albers SC (…) Moons LMG et 10 al. in Gut
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