Ten-Year Experience of Endoscopic Transanal Resection

Abstract

ObjectiveTo audit the results of endoscopic transanal resection of tumor (ETAR) performed by a single surgeon at a specialized colorectal unit during a 10-year period. Summary Background DataA minimally invasive surgical technique, ETAR has enabled much progress to be made in the development of local treatment strategies for rectal neoplasia. It can be used in both the curative and palliative management of rectal lesions and is a treatment option for patients who would be unable to tolerate major surgery. MethodsThe surgical outcome of 104 patients (43 women, 61 men) undergoing ETAR under the care of a single surgeon between 1989 and 1999 was reviewed. Patients were identified from the consultant's personal records and cross-referenced with operating room logs. Data were collected retrospectively and no patients were lost to follow-up.

Surgical resection of rectal adenoma: A rapid review

“…The latter was a large series of 238 patients (226 patients treated by TEM and 12 by TE). It is remarkable that, with such high positive-residual-margin rates, the recurrence rates in these studies were only 5.6% after 33 mo follow-up [21] and 3.6% after 67.5 mo follow-up [38] , which are lower [14] 38 62 1 10 --1 Sutton et al [15] 60 102 4 -2 -0 Bujanda et al [16] 13 13 1 2 -15 (3-24) -Tsai et al [17] 131 …”

Endoscopic alternatives in managing anastomotic strictures of the colon and rectum

“…The urological resectoscope has previously been applied in coloproctology in the treatment of rectal tumours [38,39]. Only one unit has previously published results of endoscopic transanal resection of anastomotic strictures: 15 ETARS procedures were performed in 12 patients with a mean operative time of 45 minutes and without serious complications [38].…”

“…Only one unit has previously published results of endoscopic transanal resection of anastomotic strictures: 15 ETARS procedures were performed in 12 patients with a mean operative time of 45 minutes and without serious complications [38]. The technique was successful in 11 patients; the only failure occurred in a Park's pouch, which required re-operation.…”

Surgical Management of Large Sessile Villous and Tubulovillous Adenomas of the Lower Rectum

“…Transanal endoscopic microsurgery is emerging as a promising new minimally invasive surgical technique for the treatment of large sessile rectal adenomas [14, 15, 27, 36, 37]. Although technically demanding, it is reported to be associated with a low postoperative morbidity and a low rate of local recurrences.…”