Table 4.
Endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer[60]
| EMR | ESD | |
| Merits | Minimally invasive technique which is safe, convenient and efficacious | The advantage of achieving large en-bloc resections, not necessarily limited by lesion size |
| Demerits | Insufficient when treating larger lesions, especially larger that 15 mm | Requiring significant additional technical skills and a longer procedure time |
| Prolonged learning curve | ||
| High risks of local recurrence, especially when resections are not performed en bloc or when the resection margins are involved by tumor | A higher complication rate compared to standard EMR |
ESD: Endoscopic submucosal dissection; EMR: Endoscopic mucosal resection.