{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T18:26:03Z","timestamp":1788805563314,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"vor","delay-in-days":174,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Gastric submucosal tumors (G\u2010SMTs) vary in malignancy risk, with surgical resection as standard treatment. Although extended endoscopic resection (eER) offers a less invasive option, its outcomes relative to laparoscopic resection (LR) remain unclear. This study evaluates the safety and efficacy of eER and LR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis included articles comparing eER and LR for G\u2010SMTs. The primary outcome was a complete resection rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      17 studies involving 1262 eER and 990 LR patients were included. LR showed a higher complete resection rate (RR 0.98, 95% CI 0.97\u20130.99,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). eER favored operative time (95% CI \u201057.66 to \u221223.71,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), blood loss (95% CI \u201063.46 to \u221217.45,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), time to oral intake (95% CI \u20101.64 to \u22120.33,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), and hospital stay (95% CI \u20101.75 to \u22120.13,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023). Subgroup analysis comparing endoscopic full\u2010thickness resection (EFTR) to LR showed no significant difference in complete resection (RR 0.98, 95% CI 0.95\u20131.01,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.18).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>LR may offer a higher complete resection rate, but eER demonstrated better short\u2010term outcomes. EFTR achieved comparable resection rates to LR, supporting broader adoption with further technical refinement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70104","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T21:30:06Z","timestamp":1750800606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Endoscopic Resection Versus Laparoscopic Resection for Gastric Submucosal Tumors: A Systematic Review and Meta\u2010Analysis of Safety and Efficacy"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7098-1228","authenticated-orcid":false,"given":"Kengo","family":"Hayashi","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Kanazawa University  Kanazawa Japan"},{"name":"Department of Surgical Sciences University of Turin  Turin 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