Difficult ESD due to non-lifting. EndoTODAY 이준행

[Gastric cancer 884. Difficult ESD due to non-lifting]

001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000

ESD was very difficult due to the location and the non-lifting sign. Two pieces resection was done. I added the circumferential APC ablation treatment.

ESD: Early gastric carcinoma
1. Location : body, posterior wall
2. Gross type : EGC type IIa
3. Histologic type : tubular adenocarcinoma, well differentiated
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 6 mm (2) vertical diameter, 2 mm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin : free from carcinoma(N) (but very close), safety margin : distal < 1 mm, proximal 8 mm, anterior 4 mm, posterior 2 mm, deep 500 ㎛
8. Lymphatic invasion : not identified(N)
9. Venous invasion : not identified(N)
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: absent