Local excision of rectal cancer

Sengupta, Shomik; Tjandra, Joe J.

doi:10.1007/bf02234796

Cited by 242 publications

(209 citation statements)

References 116 publications

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“…62,102 High rates of local recurrence for T2 (up to 50%) and T3 tumours (up to 100%) with conventional local excision alone have been reported. [102][103][104][105][106][107][108][109] Transanal endoscopic microsurgery alone is not a reasonable treatment for fit patients who have rectal cancer that is local stage T2 or deeper. There is recent data to guide the use of TEM in patients with T2 and T3 rectal cancers.…”

Section: Advanced Rectal Adenocarcinomasmentioning

confidence: 99%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

cjs

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Section: Advanced Rectal Adenocarcinomasmentioning

confidence: 99%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

cjs

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“…This is expected, since the risk of lymph node involvement for T2 and T3 rectal adenocarcinomas is high (12%-28% and 36%-79%, respectively 22,32,35 ). Concerning T2 lesions, Lee, et al 21 compared patients with T1N0M0 and T2N0M0 rectal adenocarcinomas treated by TEM alone (74 patients) or by radical surgery (100 patients).…”

Section: Locally Advanced Rectal Cancersmentioning

confidence: 89%

“…However, patients have to experience long operative time and are exposed to postoperative complications such as bleeding, suture dehiscence, temporary or definitive colostomy, sexual or urinary dysfunctions, pneumonia and thromboembolic events. In this context, TEM appeared as an attractive alternative, however precise preoperative staging is imperative since the procedure does not remove all perirectal lymph nodes (the risk of its involvement is 0%-12% for T1 cancers, 12%-28% for T2 cancers, 36%-79% for T3 cancers 25,32,35 ). Therefore, local recurrence is a major concern and careful patient selection is mandatory to optimize results.…”

Section: Malignant Lesionsmentioning

confidence: 99%

Transanal endoscopic microsurgery (TEM): a minimally invasive procedure for treatment of selected rectal neoplasms

Nahas

Marques

et al. 2010

ABCD, arq. bras. cir. dig.

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HEADINGS -Colorectal surgery. Combined modality therapy. Carcinoid.ABSTRACT -Transanal endoscopic microsurgery (TEM) provides a minimally invasive alternative to radical surgery for excision of benign and malignant rectal tumors. TEM aims to provide an alternative to conventional abdominal surgery (low anterior resection or abdominoperineal amputations), which carries not inconsiderable morbidity and mortality. Based on review of the literature and in the authors experience, this review present the method and indications for TEM.RESUMO -A microcirurgia endoscópica transanal (TEM) é procedimento alternativo minimamente invasivo ao tratamento cirúrgico radical para excisão de tumores benignos e malignos do reto. Ela oferece possibilidade operatória aos procedimentos cirúrgicos convencionais (ressecção anterior baixa ou amputações abdominoperineais), as quais acarretam alta morbimortalidade. Baseada na revisão da literatura e na experiência própria dos autores, esta revisão tem por objetivo apresentar o método e as indicações para a TEM.

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“…Other additional criteria are tumour size less than 4 cm and well-or moderately well-differentiated histology. The probability of lymph node metastases for a T1 G1 (well-differentiated) tumour is around 0% compared with more than 10% for a T1 G3 (poorly differentiated) tumour [136].…”

Section: 9% [Consensus])mentioning

confidence: 98%

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2011

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Background The laparoscopic approach is increasingly applied in colorectal surgery. Although laparoscopic surgery in colon cancer has been proved to be safe and feasible with equivalent long-term oncological outcome compared to open surgery, safety and long-term oncological outcome of laparoscopic surgery for rectal cancer remain controversial. Laparoscopic rectal cancer surgery might be efficacious, but indications and limitations are not clearly defined. Therefore, the European Association for Endoscopic Surgery (EAES) has developed this clinical practice guideline. Methods An international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. The expert panel constituted for a consensus development conference in May 2010. Thereafter, the recommendations were presented at the annual congress of the EAES in Geneva in June 2010 in a plenary session. A second consensus process (Delphi process) of the recommendations with the explanatory text was necessary due to the changes after the consensus conference. Results Laparoscopic surgery for extraperitoneal (midand low-) rectal cancer is feasible and widely accepted. The laparoscopic approach must offer the same quality of surgical specimen as in open surgery. Short-term outcomes such as bowel function, surgical-site infections, pain and hospital stay are slightly improved with the laparoscopic approach. Laparoscopic resection of rectal cancer is not

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Local excision of rectal cancer

Cited by 242 publications

References 116 publications

Transanal endoscopic microsurgery: a review

Transanal endoscopic microsurgery: a review

Transanal endoscopic microsurgery (TEM): a minimally invasive procedure for treatment of selected rectal neoplasms

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

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