Complications after transanal endoscopic microsurgical resection correlate with location of rectal neoplasms

Kreissler-Haag, D; Schuld, Jochen; Lindemann, W.; König, J.; Hildebrandt, U.; Schilling, Martin K.

doi:10.1007/s00464-007-9721-y

Cited by 48 publications

(25 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…10,11 However, in hospitals where surgeons are experienced in minimally invasive operations, the technique is acquired more rapidly. 12,13 Decreased complication rates, hospital stay, blood loss and duration of surgery after gaining experience with TEM have been reported in several studies.…”

Section: Learning Curvementioning

confidence: 97%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

cjs

View full text Add to dashboard Cite

Section: Learning Curvementioning

confidence: 97%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

cjs

View full text Add to dashboard Cite

“…68,[72][73][74][75][76][77][78][79][80][81][82] Furthermore, TES is associated with lower mortality (<0.5%) and morbidity (3-12%) than radical resection. [83][84][85][86] Thus, data support the use of TES for benign lesions, low-risk T1 cancers, or palliation.…”

Section: Transanal Endoscopic Surgerymentioning

confidence: 99%

Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

Emhoff

Lee

Sylla

2013

Digestive Endoscopy

View full text Add to dashboard Cite

The surgical management of rectal cancer has evolved over the past century, with total mesorectal excision (TME) emerging as standard of care. As a result of the morbidity associated with open TME, minimally invasive techniques have become popular. Natural orifice translumenal endoscopic surgery (NOTES) has been held as the next revolution in surgical techniques, offering the possibility of 'incisionless' TME. Early clinical series of transanal TME with laparoscopic assistance (n = 72) are promising, with overall intraoperative and postoperative complication rates of 8.3% and 27.8%, respectively, similar to laparoscopic TME. The mesorectal specimen was intact in all patients, and 94.4% had negative margins. There was no oncological recurrence in average-risk patients at short-term follow up, and 2-year survival rates in high-risk patients were comparable to that after laparoscopic TME. These preliminary studies demonstrate transanal NOTES TME with laparoscopic assistance to be clinically feasible and safe given careful patient selection, surgical expertise, and appropriate procedural training. We are hopeful that with optimization of transanal instruments and surgical techniques, pure transanal NOTES TME will become a viable alternative to open and laparoscopic TME in the future.

show abstract

“…All of them were located in the lateral wall of the rectum. According to Kreissler-Haag et al 13 they are more frequent at this location and this is due to vascular anatomy of the rectum. Complications are not related to the number of procedures performed.…”

Section: Morbiditymentioning

confidence: 86%

Microcirurgia endoscópica transanal e tratamento adjuvante no câncer retal precoce

Moraes¹,

Losso²,

Matias³

et al. 2011

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

-Background -The total mesorectal excision is considered the standard operation in the treatment of rectal tumors, although there is no scientific proof that it should be used for all stages of the disease. It has been demonstrated that in selected cases of rectal tumors, promising results can be achieved with local treatment by transanal endoscopic microsurgery. These tumors, called early rectal cancer, T1 tumors, are less than 4 cm, well differentiated without angiolymphatic invasion -pT1 SM1. As the risk of lymph node involvement in these tumors is approximately 3%, local resection would have a great chance to be curative. Aim -To present the results of a nonrandom prospective series of patients with early rectal cancer treated by transanal endoscopic microsurgery. Methods -Between 2002 and 2010, 38 patients evaluated by preoperative protocol as patients with early rectal cancer underwent endoscopic microsurgical resection of the entire rectal wall including the tumor when located between 2 and 8 cm from the dentate line. The preoperative evaluation consisted of digital rectal examination, rigid sigmoidoscopy macrobiopsies, barium enema and/or colonoscopy, endorectal ultrasound and abdominal computed tomography of the abdomen, chest radiography and serum CEA. Was conducted follow-up with endoscopy and endorectal ultrasound every three months during the first two years, and every six in the next three years, and CEA every six months during the same period of five years. Was evaluated the tumor recurrence, morbidity and mortality. Results -Pathologic evaluation considered 29 categorized as low risk and nine being high. The follow-up in the series ranged from one to seven years. Tumor recurrence was confirmed in two of the 38 cases (5.26%), in one the lesion was considered high and another low risk. Conclusion -Transanal endoscopic microsurgery associated or not to adjuvant therapy, may be, currently, considered the gold standard in local rectal resection, with encouraging results in cases chosen with early rectal tumors at low risk. ABCDDV/774RESUMO -Racional -A excisão total do mesorreto é considerada a operação padrão no tratamento dos tumores do reto, apesar de não existir comprovação científica de que ela deva ser usada para todos os estádios da doença. Tem sido demonstrado que em casos escolhidos de tumores retais, resultados promissores podem ser conseguidos com tratamento local por microcirurgia endoscópica transanal. Tais tumores, denominados de câncer retal precoce, são tumores T1 -menores do que 4 cm -, bem diferenciados sem invasão angiolinfática pT1 Sm1. Como o risco de comprometimento linfonodal nesses tumores é de aproximadamente 3%, a ressecção local teria grande chance de ser curativa. Objetivo -Apresentar os resultados de uma série prospectiva não randômica de pacientes portadores de câncer retal precoce submetidos ao tratamento local por microcirurgia endoscópica transanal. Métodos -Entre 2002 e 2010, 38 pacientes avaliados por protocolo pré-operatório como portadores câncer retal pre...

show abstract

Complications after transanal endoscopic microsurgical resection correlate with location of rectal neoplasms

Abstract: TEM resection of neoplasms located on the lateral rectal wall have a higher risk of bleeding. The learning curve for transanal endoscopic microsurgery appears to be negligible in surgeons with experience in minimal invasive surgery.

Cited by 48 publications

References 15 publications

Transanal endoscopic microsurgery: a review

Transanal endoscopic microsurgery: a review

Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

Microcirurgia endoscópica transanal e tratamento adjuvante no câncer retal precoce

Contact Info

Product

Resources

About