Clinical Study

Endoscopic Submucosal Dissection for Treatment of Patients Aged 75 Years and over with Esophageal Cancer

Table 3

Treatment results.

≥75 years ( 𝑛 = 1 3 ) <75 years ( 𝑛 = 4 9 ) P value

Area of specimen (cm2 : median, range)6.9 (3.9–8.0)6.6 (1.3–23.8)n.s.
Procedure time (min : median, range)107 (54–187)127 (42–485)n.s.
C O 2 insufflation used10 (77%)24 (49%)n.s.
Depth of tumor invasionn.s.
 m1-m21133
 m3-sm1212
 sm204
Horizontal marginn.s.
 pHM01245
 pHMXor114
Vertical marginn.s.
 pVM01349
 pVMXor100
Complete resection12 (92%)44 (90%)n.s.
Curative resection10 (77%)29 (59%)n.s.

m1: intraepithelial carcinoma; m2: microinvasive carcinoma (invasion through the basement membrane); m3: intramucosal carcinoma (invasion to the muscularis mucosae); sm1: superficial invasion in the submucosa (extended up to 200 mm below the lower border of the lamina muscularis mucosae); sm2: deep invasion in the submucosa (deeper than 200 mm below the lower border of the lamina muscularis).
complete resection: en bloc resection with tumor-free margins; curative resection: complete resection with depth of m1 or m2 and without lymphatic or venous invasion.
n.s.=not significant.