Schlottmann Francisco
Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, United States.
Department of Surgery, Hospital Alemán of Buenos Aires, Buenos Aires 1640-C1118AAT, Argentina.
World J Gastrointest Surg. 2024 Jul 27;16(7):1965-1968. doi: 10.4240/wjgs.v16.i7.1965.
Gastric cancer (GC) is the 5 most common cancer and the 3 most common cause of cancer mortality worldwide. Two main endoscopic resective techniques exist for early GC (EGC): Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). ESD has been widely embraced in the last decade because it allows radical resections and is associated with better outcomes, as compared to EMR. However, the lack of training opportunities and flat learning curve due to low volume of EGC cases represent major obstacles to obtain proficiency on ESD in the West. As this procedure is highly efficient for the treatment of EGC, dedicated training programs with a stepwise approach and updated guidelines for ESD embracement are needed in Western countries.
胃癌（GC）是全球第5大常见癌症，也是第3大常见癌症死亡原因。早期胃癌（EGC）主要有两种内镜切除技术：内镜黏膜切除术（EMR）和内镜黏膜下剥离术（ESD）。过去十年中，ESD已被广泛采用，因为与EMR相比，它能实现根治性切除且预后更好。然而，在西方，由于EGC病例数量少，缺乏培训机会以及学习曲线平缓，这些都是在ESD方面达到熟练水平的主要障碍。由于该手术对EGC的治疗效率很高，西方国家需要采用循序渐进方法的专门培训计划以及关于采用ESD的更新指南。
