Results of Additional Surgery After Endoscopic Resection for T1 Colorectal Cancer in a French Multicenter Cohort

Corre, Félix; Barret, Maximilien; Ratone, JP; Albouys, Jérémie; Rahmi, Gabriel; Chabrun, Edouard; Canard, JM; Camus, Marine; Wallenhorst, Timothée; Karsenti, David; François, M; R, Gerard; Jacques, Jérémie; Terris, Benoı̂t; Chaussade, Stanislas

doi:10.1055/s-0040-1704134

Cited by 1 publication

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“…Results demonstrated no significant difference in the rate of death and of cancer recurrence between the two groups with a median followup for cancer recurrence of 3.3 years. 35 Similarly, no significant differences in tumor recurrence or disease-specific survival rates were found in prior multicenter studies of patients with R1 resection of T1 colorectal lesions who underwent either surgical follow-up or endoscopic surveillance after ESD. 36 Given the morbidity and mortality associated with further surgery, particularly rectal lesions, these results raise the importance of multidisciplinary discussion regarding the relative benefits of surgery versus surveillance in patients who may be higher risk for surgery.…”

Section: Endoscopic Resection Versus Surgical Resectionmentioning

confidence: 87%

Current Trends in the Management of a Complex Polyp: Endoscopy versus Surgery

Khan,

Visrodia,

Sethi

2024

Clin Colon Rectal Surg

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Many colorectal cancers arise from either adenomatous polyps or sessile serrated lesions. However, due to the implementation of screening guidelines at the age of 45 years and the ability to perform therapeutic endoscopic polyp resections, the incidence and mortality of colorectal cancer has been decreasing in the United States. Polyps can be distinguished not only by pathology, but characterized by their complexity depending on the size, location, and morphology. Historically, polyps that were endoscopically more challenging to resect were referred for surgical resection. However, due to rapid advancement in endoscopic techniques and availability of tools, many of these complex polyps can be safely and effectively resected endoscopically. In this section, we review the different methods and potential challenges associated with endoscopic resection techniques including endoscopic mucosal resection, endoscopic submucosal dissection, or endoscopic full-thickness resection of a complex polyp.

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Section: Endoscopic Resection Versus Surgical Resectionmentioning

confidence: 87%