Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas
<p>Abstract</p> <p>Background</p> <p>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 excisio...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-11-01
|
| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | http://www.wjso.com/content/10/1/255 |
| _version_ | 1811311626427564032 |
|---|---|
| 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 | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>In a retrospective analysis we examined data on 279 patients for local recurrence. A total of 144 patients had a rectal adenoma (<it>n</it> = 103) or a R0 resection of low-risk T1 carcinomas (<it>n</it> = 41). In this collective, we also examined parameters concerning perioperative management, complications, intraoperative blood loss and duration of hospital stay.</p> <p>Results</p> <p>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.</p> <p>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.</p> <p>Conclusions</p> <p>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.</p> |
| first_indexed | 2024-04-13T10:22:05Z |
| format | Article |
| id | doaj.art-a7ea5fa23e0f477b8c1b6bd24660a24c |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-04-13T10:22:05Z |
| publishDate | 2012-11-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-a7ea5fa23e0f477b8c1b6bd24660a24c2022-12-22T02:50:28ZengBMCWorld Journal of Surgical Oncology1477-78192012-11-0110125510.1186/1477-7819-10-255Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomasAmann MichaelModabber AliBurghardt JensStratz ChristianFalch ClaudiusBuess Gerhard FKirschniak Andreas<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>In a retrospective analysis we examined data on 279 patients for local recurrence. A total of 144 patients had a rectal adenoma (<it>n</it> = 103) or a R0 resection of low-risk T1 carcinomas (<it>n</it> = 41). In this collective, we also examined parameters concerning perioperative management, complications, intraoperative blood loss and duration of hospital stay.</p> <p>Results</p> <p>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.</p> <p>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.</p> <p>Conclusions</p> <p>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.</p>http://www.wjso.com/content/10/1/255Transanal endoscopic microsurgeryRectal adenomaRectal carcinomaLocal excisionEndoscopic surgery |
| spellingShingle | 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 World Journal of Surgical Oncology Transanal endoscopic microsurgery Rectal adenoma Rectal carcinoma Local excision Endoscopic surgery |
| 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 | Transanal endoscopic microsurgery Rectal adenoma Rectal carcinoma Local excision Endoscopic surgery |
| url | http://www.wjso.com/content/10/1/255 |
| work_keys_str_mv | AT amannmichael transanalendoscopicmicrosurgeryintreatmentofrectaladenomasandt1lowriskcarcinomas AT modabberali transanalendoscopicmicrosurgeryintreatmentofrectaladenomasandt1lowriskcarcinomas AT burghardtjens transanalendoscopicmicrosurgeryintreatmentofrectaladenomasandt1lowriskcarcinomas AT stratzchristian transanalendoscopicmicrosurgeryintreatmentofrectaladenomasandt1lowriskcarcinomas AT falchclaudius transanalendoscopicmicrosurgeryintreatmentofrectaladenomasandt1lowriskcarcinomas AT buessgerhardf transanalendoscopicmicrosurgeryintreatmentofrectaladenomasandt1lowriskcarcinomas AT kirschniakandreas transanalendoscopicmicrosurgeryintreatmentofrectaladenomasandt1lowriskcarcinomas |