Survival after local excision for rectal cancer: a population-based overview of clinical practice and outcome

Verseveld, M.; Wilt, Johannes H. W. de; Elferink, M.A.G.; Graaf, Eelco J. R. de; Verhoef, Cornelis; Pouwels, Sjaak; Doornebosch, Pascal G.

doi:10.1080/0284186x.2019.1616816

Cited by 4 publications

(3 citation statements)

References 26 publications

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“…The current study did not focus on survival outcomes. This was previously addressed by our study group [24]. Finally, there is no consensus on the specified time interval for when to still define additional surgery as 'completion surgery' or when to define it as 'salvage surgery' [33].…”

Section: Discussionmentioning

confidence: 95%

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Treatment of clinical T1 rectal cancer in the Netherlands; a population-based overview of clinical practice

Verseveld

Verver

Noordman

et al. 2022

European Journal of Surgical Oncology

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Section: Discussionmentioning

confidence: 95%

“…If a suspected T1 rectal cancer proves to be a T2 or more invasive carcinoma after LE, cTME is recommended, leading to similar oncological results as primary TME surgery [24].…”

Section: Discussionmentioning

confidence: 99%

Treatment of clinical T1 rectal cancer in the Netherlands; a population-based overview of clinical practice

Verseveld

Verver

Noordman

et al. 2022

European Journal of Surgical Oncology

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“…The specimen was retracted entirely by retraction stitches and excised in MITAS LE, resulting in an en bloc resection rate of 100%. R0 resection was performed in 50%-81.1% of patients undergoing conventional LE [34][35][36] and 80%-90% of those undergoing TEMS [34,35]. The R0 resection rate varied from 74.6% to 89% in patients undergoing ESD [31,33] and 93% in those undergoing TAMIS [8].…”

Section: Discussionmentioning

confidence: 99%

Long-term results of minimally invasive transanal surgery for rectal tumors in 249 consecutive patients

Maeda¹,

Koide

Katsuno

et al. 2022

Surg Today

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Purpose To delineate the long-term results of minimally invasive transanal surgery (MITAS) for selected rectal tumors. Methods We analyzed data, retrospectively, on consecutive patients who underwent MITAS between 1995 and 2015, to establish the feasibility, excision quality, and perioperative and oncological outcomes of this procedure. Results MITAS was performed on 243 patients. The final histology included 142 cancers, 47 adenomas, and 52 neuroendocrine tumors (NET G1). A positive margin of 1.6% and 100% en bloc resection were achieved. The mean operative time was 27.4 min. Postoperative morbidity occurred in 7% of patients, with 0% mortality. The median follow-up was 100 months (up to ≥ 5 years or until death in 91.8% of patients). Recurrence developed in 2.9% of the patients. The 10-year overall survival rate was 100% for patients with NET G1 and 80.3% for those with cancer. The 5-year DFS was 100% for patients with Tis cancer, 90.6% for those with T1 cancer, and 87.5% for those with T2 or deeper cancers. MITAS for rectal tumors ≥ 3 cm resulted in perioperative and oncologic outcomes equivalent to those for tumors < 3 cm. Conclusion MITAS is feasible for the local excision (LE) of selected rectal tumors, including tumors ≥ 3 cm. It reduces operative time and secures excision quality and long-term oncological outcomes.

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The impact of transanal local excision of early rectal cancer on completion rectal resection without neoadjuvant chemoradiotherapy: a systematic review

et al. 2021

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Survival after local excision for rectal cancer: a population-based overview of clinical practice and outcome

Cited by 4 publications

References 26 publications

Treatment of clinical T1 rectal cancer in the Netherlands; a population-based overview of clinical practice

Treatment of clinical T1 rectal cancer in the Netherlands; a population-based overview of clinical practice

Long-term results of minimally invasive transanal surgery for rectal tumors in 249 consecutive patients

The impact of transanal local excision of early rectal cancer on completion rectal resection without neoadjuvant chemoradiotherapy: a systematic review

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