Local therapy of rectal tumors

Mentges, B.; Bueß, G.; Schäfer, Dirk; Manncke, K.; Becker, H. D.

doi:10.1007/bf02053987

Cited by 77 publications

(56 citation statements)

References 15 publications

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“…Subsequently, several authors presented their experience with TEM and carcinoids. 9,[117][118][119][120][121] Carcinoids eligible for local excision are typically smaller and less technically challenging than rectal adenocarcinomas. 118 Kinoshita and colleagues 117 reported their results in 27 patients with carcin oid tumours treated with TEM.…”

Section: Carcinoidsmentioning

confidence: 99%

“…After this early success with benign disease, REVUE the technique has been subsequently used to remove early stage carcinomas and carcinoids of the rectum, for palliative resection of advanced rectal cancers and to surgically correct rectal prolapse and rectal diverticular disease. 9 The objective of this review is to describe the current status of TEM in the treatment of rectal lesions.…”

mentioning

confidence: 99%

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Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

cjs

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Section: Carcinoidsmentioning

confidence: 99%

mentioning

confidence: 99%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

cjs

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“…Virtually any adenoma up to 25 cm (proximal margin of the tumour) from the anal verge, including large circumferential lesions, can be removed by TEM [1]. Large sessile lesions may harbour an occult cancer in 30–50% of instances and hence, for these lesions a full thickness excision, traversing all layers of the bowel wall may be preferable [9].…”

Section: The Tem Proceduresmentioning

confidence: 99%

“…Rectal lesions have always been difficult to approach and treat in view of the complex anatomy of the pelvis [1]. Traditionally, the treatment of rectal cancers and benign rectal tumours unsuitable for polypectomy is open surgery, either anterior resection or abdominoperineal resection.…”

Section: Introductionmentioning

confidence: 99%

Transanal Endoscopic Microsurgery: Where Are We Now?

Maslekar¹,

Beral²,

White³

et al. 2006

Dig Surg

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Aims: This review of literature aimed to assess the role and establish the current status of transanal endoscopic microsurgery (TEM) in the management of benign and malignant rectal lesions. Methods: Areview of the literature was undertaken through the Medline database and by cross-referencing previous publications, thus identifying 54 relevant publications on TEM in the management of rectal lesions. Aggregated results of various parameters were calculated but statistical comparisons deemed unsuitable due to heterogeneity of data. Results: The TEM procedure is associated with good functional results, morbidity of 4% and zero procedure-related mortality. The local recurrence rates after TEM excision is 4.5% (range 0–14) for benign rectal lesions, 6% (0–13) for T₁ cancers, 14% (range 0–50) for T₂ cancers and 20% (range 14–67%) for T₃ cancers. Local recurrences after TEM can be surgically salvaged with good disease free survival rates. Conclusions: The TEM procedure clearly offers the benefits of good exposure of the operative field allowing extremely precise dissection and access to high rectal lesions unresectable by other methods. For pTis and low risk pT₁ lesions, the oncological results are comparable to the more traditional formal resection. The routine use of TEM for high-risk pT₁ and higher stage lesions is not an oncologically sound choice at the present moment.

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“…The procedure allows a precise removal of tumors located 6-18 cm from the anal verge (6,7) and has been widely used for the evaluation and treatment of both adenomas and selected carcinomas, with minimal morbidity and mortality (8,9). The technique combines a meticulous dissection and suturing in the ano-rectum up to 18-20 cm from the anal verge under intense endoscopic visualization (10).…”

mentioning

confidence: 99%