Hybrid EMR-hot avulsion significantly lowers cancer recurrence rates after endoscopic submucosal dissection for early gastric cancer.

• Recurrence rate with EMR-ha was just 11.5% (3/26) vs. 44% (11/25) for hot avulsion and 36.6% (15/41) for APC.
• Median disease-free survival post-recurrence treatment was 34.5 months, with 84.6% of patients achieving complete resection via re-ESD.

Consider adopting hybrid EMR-ha for better outcomes in patients with positive lateral margins.