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Challenges in Implementing Endoscopic Resection for T2 Colorectal Cancer
Ichimasa Katsuro,Kudo Shin-ei,Tan Ker-Kan,Lee Jonathan Wei Jie,Yeoh Khay Guan 거트앤리버 소화기연관학회협의회 2024 Gut and Liver Vol.18 No.2
The current standard treatment for muscularis propria-invasive (T2) colorectal cancer is surgical colectomy with lymph node dissection. With the advent of new endoscopic resection techniques, such as endoscopic full-thickness resection or endoscopic intermuscular dissection, T2 colorectal cancer, with metastasis to 20%-25% of the dissected lymph nodes, may be the next candidate for endoscopic resection following submucosal-invasive (T1) colorectal cancer. We present a novel endoscopic treatment strategy for T2 colorectal cancer and suggest further study to establish evidence on oncologic and endoscopic technical safety for its clinical implementation.