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Comparing endoscopic mucosal resection with endoscopic submucosal dissection in colorectal adenoma and tumors: Meta-analysis and system review

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  • Nian Wang
  • Lei Shu
  • Song Liu
  • Lin Yang
  • Tao Bai
  • Zhaohong Shi
  • Xinghuang Liu

Abstract

Aims: This study aimed to evaluate the safety, efficacy, and long-term outcomes of endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) for treating colorectal adenomas and tumors. Methods: A systematic literature review was conducted using databases including PubMed, Web of Science, and Embase. Parameters such as number of patients or lesions, histological diagnosis, lesion size, surgery time, en-bloc resection, R0 resection, severe postoperative complications, and local recurrence were extracted and pooled for analysis. Results: A total of 12 retrospective studies involving 1289 patients and 1850 lesions were included in the analysis. EMR was found to have a shorter operation time by 53.6 minutes (95% CI: 51.3, 55.9, P

Suggested Citation

  • Nian Wang & Lei Shu & Song Liu & Lin Yang & Tao Bai & Zhaohong Shi & Xinghuang Liu, 2023. "Comparing endoscopic mucosal resection with endoscopic submucosal dissection in colorectal adenoma and tumors: Meta-analysis and system review," PLOS ONE, Public Library of Science, vol. 18(9), pages 1-19, September.
    • Handle: RePEc:plo:pone00:0291916
    DOI: 10.1371/journal.pone.0291916
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