Completing the circle of informed consent for EMR versus surgery for nonmalignant large or complex colorectal polyps

Moss, Alan; Nalankilli, Kumanan

doi:10.1016/j.gie.2016.02.039

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…We have demonstrated the most comprehensive comparison yet of the complications of endoscopic resection and surgery for significant colorectal polyps. In the absence of any randomized trials, risk comparisons have often been made with historical studies comprising heterogeneous patient groups undergoing major bowel resections [33]. By classifying endoscopic complications according to the Clavien-Dindo grade, we have demonstrated a 1% risk of major complication in the endoscopic resection group, which was significantly lower than the 6% rate associated with surgery.…”

Section: Discussionmentioning

confidence: 91%

Variations in the management of significant polyps and early colorectal cancer: results from a multicentre observational study of 383 patients

et al. 2018

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Section: Discussionmentioning

confidence: 91%

Variations in the management of significant polyps and early colorectal cancer: results from a multicentre observational study of 383 patients

et al. 2018

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“…Early (T1) colorectal cancers with a low risk of lymphatic metastasis can be treated by endoscopic techniques[ 10 - 12 ]. Unfortunately, most patients with early-stage colorectal cancer do not receive adequate endoscopic treatment evaluation and still undergo surgical treatment[ 13 , 14 ]. Endoscopic resection of stage T1 colorectal cancer depends on the tumor size and the depth of invasion.…”

Section: Endoscopy Technology In Gastrointestinal Cancermentioning

confidence: 99%

Role of minimally invasive techniques in gastrointestinal surgery: Current status and future perspectives

Ye¹,

Zhu²,

Huang³

et al. 2021

WJGS

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In recent years, the incidence of gastrointestinal cancer has remained high. Currently, surgical resection is still the most effective method for treating gastrointestinal cancer. Traditionally, radical surgery depends on open surgery. However, traditional open surgery inflicts great trauma and is associated with a slow recovery. Minimally invasive surgery, which aims to reduce postoperative complications and accelerate postoperative recovery, has been rapidly developed in the last two decades; it is increasingly used in the field of gastrointestinal surgery and widely used in early-stage gastrointestinal cancer. Nevertheless, many operations for gastrointestinal cancer treatment are still performed by open surgery. One reason for this may be the challenges of minimally invasive technology, especially when operating in narrow spaces, such as within the pelvis or near the upper edge of the pancreas. Moreover, some of the current literature has questioned oncologic outcomes after minimally invasive surgery for gastrointestinal cancer. Overall, the current evidence suggests that minimally invasive techniques are safe and feasible in gastrointestinal cancer surgery, but most of the studies published in this field are retrospective studies and case-matched studies. Large-scale randomized prospective studies are needed to further support the application of minimally invasive surgery. In this review, we summarize several common minimally invasive methods used to treat gastrointestinal cancer and discuss the advances in the minimally invasive treatment of gastrointestinal cancer in detail.

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Endoscopic Mucosal Resection: Colon and Rectum

Kheir

2023

The SAGES Manual Operating Through the Endoscope

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Completing the circle of informed consent for EMR versus surgery for nonmalignant large or complex colorectal polyps

Cited by 7 publications

References 11 publications

Variations in the management of significant polyps and early colorectal cancer: results from a multicentre observational study of 383 patients

Variations in the management of significant polyps and early colorectal cancer: results from a multicentre observational study of 383 patients

Role of minimally invasive techniques in gastrointestinal surgery: Current status and future perspectives

Endoscopic Mucosal Resection: Colon and Rectum

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