Lasers in Rectosigmoid Tumors

Brunetaud, J. M.; Maunoury, V.; Ancelin, J. P.; Cochelard, D.; Cortot, Antoine; Paris, J

doi:10.1007/978-3-642-72870-9_58

Cited by 5 publications

(13 citation statements)

References 2 publications

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“…We noticed three major complications (3,6 %): two overt perforations and one rectovaginal fistula; one patient died after perforation following bougienage (mortality rate: 1,2 %). This complication rate is comparable to larger series reported from France [10] (two perforations (one fatal), two rectovaginal fistulas and one pararectal abscess; overall: 2 % complication rate in 216 pts. analysed) and from the Netherlands [20] (one perforation; one pararectal abscess in a study group of 63 pts.).…”

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

Endoscopic Laser Palliation for Rectal Cancer* - Therapeutic Outcome and Complications in Eighty-Three Consecutive Patients -

Jakobs

Miola

Eickhoff³

et al. 2002

Z Gastroenterol

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Section: Discussionsupporting

confidence: 84%

“…Brunetaud et al presented their data on 253 pts. with advanced rectal cancers [10]. Of these 216 (85 %) pts.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Laser Palliation for Rectal Cancer* - Therapeutic Outcome and Complications in Eighty-Three Consecutive Patients -

Jakobs

Miola

Eickhoff³

et al. 2002

Z Gastroenterol

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“…Both argon and neodymium yttrium‐aluminium‐garnet (NdYAG) lasers have been used, although the latter is more common. In a series of 276 patients treated for advanced rectal cancer the immediate success rate was 85% [ 106]. Similar results have been described elsewhere [ 107–109].…”

Section: Local Methods Of Palliationsupporting

confidence: 75%

Local methods of treatment of rectal cancer

Cook

Mortensen

2000

Colorectal Disease

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Over 11 000 new cases of rectal cancer are reported in the UK each year. Recent technical advances have increased interest in local management of the disease. The introduction of screening for colorectal cancer will potentially lead to an increased number of early rectal cancers suitable for local curative treatment. In addition, as the proportion of elderly patients in the population rises, local methods of treatment of rectal cancer will become increasingly important in this group of patients with comorbid disease. A literature search was performed on Medline database for English language publications on local treatments of rectal carcinoma. Preoperative assessment, selection of patients, local therapeutic and palliative methods of treatment were evaluated. Local methods of treatment can be used for potentially curative operations for rectal cancer. Preoperative endoanal ultrasound appears to be the most useful investigation for determining depth of local invasion. Transanal endoscopic microsurgery has extended the boundaries of local surgery and permits access to the mid and upper rectum with results similar to those of conventional local techniques. Laser therapy and transanal resection provide the best form of palliation for more advanced rectal carcinomas.

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“…The highest success rates with laser therapy (> 80%) and lowest complication rates are seen in large centers with extensive experience [28,30].…”

Section: Endoscopic Optionsmentioning

confidence: 96%

Management of malignant colonic obstruction

Adler

2005

Curr Treat Options Gastro

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Malignant large bowel obstruction remains a clinical entity that is commonly encountered despite our advances in screening for colorectal cancer. Patients with malignant large bowel obstruction usually have advanced colorectal cancer and are often poor operative candidates, yet these patients are in need of treatment and colonic decompression. Surgical therapies are available and can offer good outcomes in selected patients. Patients who have curative or palliative surgeries planned should routinely undergo preoperative endoscopic decompression. Available options for decompression include the placement of colonic decompression tubes, ablative methods such as the use of lasers, argon plasma coagulators, and the use of self-expanding metal stents. The author favors the use of self-expanding metal stents, as these devices provide rapid colonic decompression, create a wide luminal diameter, and are applicable in patients requiring preoperative decompression and bowel preparation as well as in patients undergoing palliative therapy only. Patients who go on to surgery can have the stent and tumor removed en bloc at the time of the procedure, whereas patients who are only candidates for palliation can have the stents left in place as permanent decompressive devices with minimal morbidity and mortality.

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Lasers in Rectosigmoid Tumors

Cited by 5 publications

References 2 publications

Endoscopic Laser Palliation for Rectal Cancer* - Therapeutic Outcome and Complications in Eighty-Three Consecutive Patients -

Endoscopic Laser Palliation for Rectal Cancer* - Therapeutic Outcome and Complications in Eighty-Three Consecutive Patients -

Local methods of treatment of rectal cancer

Management of malignant colonic obstruction

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