Objective To explore the reason for remedy radical operation after
endoscopic submucosal dissection (ESD) for early
gastric cancer.
Methods The clinical data of 26 early
gastric cancer cases
who received remedy radical
gastrectomy after ESD between January 2012 to March 2015 in Nanjing Drum Tower
Hospital were analyzed retrospectively.Results All cases were followed up and mid follow-up was 25 months.There was no
death nor
tumor reccurence cases during the follow-up.Three cases suffered from
complications in radical
surgery for
gastric cancer including afferent jejunal loop obstruction,
adhesive intestinal obstruction,
stomach paralysis respectively,all were cured by
conservative therapy.Postoperative
pathology found
lymph node metastasis in 3 cases.Conclusions En bloc resection and negative
resection margin,as well as free
lymphatic metastasis are two important factors determing the
survival of early
gastric cancer patients undergoing ESD
treatment.