Research Article

Orthodontic Rubber Band-Assisted Endoscopic Submucosal Dissection: An Efficient Method for Treating Superficial Colorectal Tumors

Table 1

Baseline patient characteristics and treatment outcomes in the entire cohort before propensity score matching (PSM).

ORB-ESD group ()Conventional ESD group () value

Age (years)55 (50–65)57 (52–66)0.466W
Sex, (%)0.302C
 Male18 (52.9)58 (64.4)
 Female16 (47.1)32 (35.6)
Gross type, (%)≤0.001C
 Polypoid4 (11.8)42 (46.7)
 Superficial30 (88.2)48 (53.3)
Lesion location, (%)0.093C
 Right colon16 (47.1)24 (26.7)
 Left colon6 (17.6)25 (27.8)
 Rectum12 (35.3)41 (45.6)
Lesion size (mm)20 (20–27)21 (20–30)0.416W
Procedure time (min)34.5 (26–42)56 (44–66)≤0.001W
Fibrosis, (%)3 (8.8)3 (3.3)0.344F
Operator experiences, (%)1C
 Expert14 (41.2)38 (42.2)
 Trainee20 (58.8)52 (57.8)
Complications, (%)1F
 Delayed bleeding1 (2.9)4 (4.4)
 Perforation1 (2.9)2 (2.2)
En bloc resection, (%)34 (100)90 (100)1F
R0 resection, (%)33 (97.1)81 (90.0)0.283F
Histology0.275F
 Mucosal lesion30 (88.2)82 (91.1)
 SM12 (5.9)7 (7.8)
 SM22 (5.9)1 (1.1)

ORB: orthodontic rubber band; ESD: endoscopic submucosal dissection; SM1: superficial invasive submucosal carcinoma (<1000 μm); SM2: deep invasive submucosal carcinoma (≥1000 μm). WMann-Whitney test, Cchi-squared test, FFisher’s exact test.