Endoscopic Submucosal Dissection for Colorectal Lesions in a Community-based European Hospital: Experience and Learning Curve

Key Points

• The aim is to evaluate the feasibility of endoscopic submucosal dissection (ESD) for colorectal lesions in community hospitals.
• Evaluated outcomes of colorectal ESD performed at a community-based European hospital.
• Compared conventional ESD to hybrid ESD techniques.
• Analyzed case selection criteria for optimal patient outcomes.
• Colorectal ESD shows outcomes comparable to specialized centers under careful case selection.
• Conventional ESD achieves higher rates of en-bloc and R0 resections than hybrid ESD.
• Hybrid ESD may be considered as a viable option in specific cases.