Clinical Study

Prediction and Treatment of Difficult Cases in Colorectal Endoscopic Submucosal Dissection

Table 1

Clinical characteristics and outcomes of colorectal ESD.

Clinicopathological factors

Age, mean ± SD
Sex ( )
Male/female
241 (59.1%)/177 (40.9%)
Tumor size (mm), mean ± SD
Tumor location (%)
Right-sided/left-sided/rectum
48.8/19.7/31.5
Morphology (%)
Superficial/protruding
80.9/19.1
Degree of fibrosis (%) (n)53.1/37.4/9.5
F0/F1/F2(275/194/49)
Experience of endoscopist (%) (n)34.6/65.4
Expert/nonexpert(179/339)
Procedure time (minutes), mean ± SD (range) (15–420)
Procedure speed (cm2/min), mean ± SD
En bloc resection (%)91.5
Histology Ad/M/SM, (%) (n)45.8/42.1/12.1
(235/216/62)
Perforation (%) (n)3.8 (20)
Postoperative hemorrhage (%) (n)2.3 (12)

Right-sided: cecum to transverse colon, left-sided: descending to sigmoid colon, F0: no fibrosis, F1: mild fibrosis, F2: severe fibrosis, Ad: adenoma, M: intramucosal cancer, and SM: submucosal invaded cancer.