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Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas
BACKGROUND: Transanal endoscopic microsurgery as a local therapy option for rectal neoplasms is a tissue-sparing technique that protects the anal sphincter. The present retrospective analysis reports the course of observation after local excision of adenomas and T1 low-risk carcinomas using transana...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556112/ https://www.ncbi.nlm.nih.gov/pubmed/23181563 http://dx.doi.org/10.1186/1477-7819-10-255 |
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author | Amann, Michael Modabber, Ali Burghardt, Jens Stratz, Christian Falch, Claudius Buess, Gerhard F Kirschniak, Andreas |
author_facet | Amann, Michael Modabber, Ali Burghardt, Jens Stratz, Christian Falch, Claudius Buess, Gerhard F Kirschniak, Andreas |
author_sort | Amann, Michael |
collection | PubMed |
description | BACKGROUND: Transanal endoscopic microsurgery as a local therapy option for rectal neoplasms is a tissue-sparing technique that protects the anal sphincter. The present retrospective analysis reports the course of observation after local excision of adenomas and T1 low-risk carcinomas using transanal endoscopic microsurgery. METHODS: In a retrospective analysis we examined data on 279 patients for local recurrence. A total of 144 patients had a rectal adenoma (n = 103) or a R0 resection of low-risk T1 carcinomas (n = 41). In this collective, we also examined parameters concerning perioperative management, complications, intraoperative blood loss and duration of hospital stay. RESULTS: Patients with adenoma were on average 64.9 (range 37 to 90) years old; 83.5% of the adenomas were located 3 to 11 cm from the anocutaneous line. In adenoma patients the recurrence rate was 2.9% for an observation period of 21.8 months. The postoperative course was without any complications in 98.1% of patients. Patients with T1 low-risk carcinoma were 64.6 (range 30 to 89) years old. In all cases, an R0 resection could be performed. The recurrence rate was 9.8% for an observation period of 34.4 months. In this group the postoperative course was free of complications in 97.6% of patients. CONCLUSIONS: The high efficacy of transanal endoscopic microsurgery ensures minimally invasive treatment of adenomas and low-risk T1 carcinomas with low complication rates and a low rate of therapeutic failure. |
format | Online Article Text |
id | pubmed-3556112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35561122013-01-31 Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas Amann, Michael Modabber, Ali Burghardt, Jens Stratz, Christian Falch, Claudius Buess, Gerhard F Kirschniak, Andreas World J Surg Oncol Research BACKGROUND: Transanal endoscopic microsurgery as a local therapy option for rectal neoplasms is a tissue-sparing technique that protects the anal sphincter. The present retrospective analysis reports the course of observation after local excision of adenomas and T1 low-risk carcinomas using transanal endoscopic microsurgery. METHODS: In a retrospective analysis we examined data on 279 patients for local recurrence. A total of 144 patients had a rectal adenoma (n = 103) or a R0 resection of low-risk T1 carcinomas (n = 41). In this collective, we also examined parameters concerning perioperative management, complications, intraoperative blood loss and duration of hospital stay. RESULTS: Patients with adenoma were on average 64.9 (range 37 to 90) years old; 83.5% of the adenomas were located 3 to 11 cm from the anocutaneous line. In adenoma patients the recurrence rate was 2.9% for an observation period of 21.8 months. The postoperative course was without any complications in 98.1% of patients. Patients with T1 low-risk carcinoma were 64.6 (range 30 to 89) years old. In all cases, an R0 resection could be performed. The recurrence rate was 9.8% for an observation period of 34.4 months. In this group the postoperative course was free of complications in 97.6% of patients. CONCLUSIONS: The high efficacy of transanal endoscopic microsurgery ensures minimally invasive treatment of adenomas and low-risk T1 carcinomas with low complication rates and a low rate of therapeutic failure. BioMed Central 2012-11-26 /pmc/articles/PMC3556112/ /pubmed/23181563 http://dx.doi.org/10.1186/1477-7819-10-255 Text en Copyright ©2012 Amann et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Amann, Michael Modabber, Ali Burghardt, Jens Stratz, Christian Falch, Claudius Buess, Gerhard F Kirschniak, Andreas Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas |
title | Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas |
title_full | Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas |
title_fullStr | Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas |
title_full_unstemmed | Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas |
title_short | Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas |
title_sort | transanal endoscopic microsurgery in treatment of rectal adenomas and t1 low-risk carcinomas |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556112/ https://www.ncbi.nlm.nih.gov/pubmed/23181563 http://dx.doi.org/10.1186/1477-7819-10-255 |
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