{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:55:25Z","timestamp":1781812525470,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"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":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This retrospective study aimed to verify the efficacy of endoscopic submucosal dissection (ESD) using a scissor\u2010type knife for early gastric cancer (EGC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The patients who underwent ESD for EGC between April 2014 and March 2022 were enrolled. The primary endpoint of this study was to assess the efficacy of a scissor\u2010type knife by comparing the self\u2010completion rate of trainees between gastric ESD performed using a scissor\u2010type knife (ESD\u2010SC) and nonscissor devices (ESD\u2010NS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 903 lesions, 485 and 418 underwent ESD\u2010SC and ESD\u2010NS, respectively. The self\u2010completion rate of trainees was significantly higher for ESD\u2010SC than for ESD\u2010NS (50.3 and 33.0%, respectively;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The procedure time was also significantly shorter for ESD\u2010SC (50.0 vs. 66.5\u2009min, respectively;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Intraoperative perforation rate was not significantly different (0.6% for ESD\u2010SC and 1.4% for ESD\u2010NS, respectively). In multivariate analyses, tumor located in the lower third of the stomach (odds ratio [OR] 1.93, 95% confidence interval [CI] 1.46\u20132.55,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), tumor size \u2264\u200920\u2009mm (OR 3.32, 95% CI 2.20\u20135.00,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and a scissor\u2010type knife (OR 2.22, 95% CI 1.67\u20132.94,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were factors related to the self\u2010completion rate of trainees for gastric ESD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A scissor\u2010type knife was associated with higher self\u2010completion rates and shorter procedure times among trainees. Further prospective studies are needed to validate its clinical utility in ESD training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgh.70216","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T12:55:56Z","timestamp":1767704156000},"page":"720-726","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Scissor\u2010Type Knife Improves Trainee's Self\u2010Completion of Endoscopic Submucosal Dissection for Early Gastric Cancer"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9864-5194","authenticated-orcid":false,"given":"Hayato","family":"Fukui","sequence":"first","affiliation":[{"name":"Molecular Gastroenterology and Hepatology, Graduate School of Medical Science Kyoto Prefectural University of Medicine  Kyoto 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