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Copyright: ©Author(s) 2026.
World J Gastroenterol. Aug 14, 2026; 32(30): 119614
Published online Aug 14, 2026. doi: 10.3748/wjg.119614
Table 3 Comparison of three surgical procedures for early gastric cancer
Surgical procedures
Oncological outcomes
The incidence of complications
Risk exposure
Long-term follow-up results
LECSHigh R0 resection rate, low recurrence rateLowThe exposed LECS is relatively high, while the non-exposed LECS is relatively lowLong-term survival data beyond five years are still under documentation, yet notable restoration of gastric function and superior quality of life have been consistently observed
ESDHigher R0 resection rate, higher recurrence rateThe incidence of bleeding and perforation is relatively highThis procedure carries a relatively high risk and poses a potential hazard for intraperitoneal seeding following perforationThe observed favorable five-year survival rate may necessitate subsequent surgical interventions
Traditional radical gastrectomyHigh R0 resection rate and extremely low recurrence rateHighLower exposure riskThe five-year survival rate is high; however, long-term malnutrition leads to a decline in quality of life


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