What does this research mean for the field?

Colorectal endoscopic submucosal dissection (ESD) is feasible and can be successfully self-taught in non-tertiary community hospitals, yielding outcomes comparable to specialized centers under appropriate case selection. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The aim is to evaluate the feasibility of endoscopic submucosal dissection (ESD) for colorectal lesions in community hospitals.

March 30, 2026Open Access

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

Puntos clave

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.

Resumen

Colorectal ESD is a feasible and can be self-taught in non-tertiary hospitals, achieving outcomes comparable to those reported in specialized centers, under appropriate case selection. Although conventional ESD achieves higher en-bloc and R0-resections than hybrid ESD, the latter may serve as a rescue option in selected cases.

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