Is transanal endoscopic microsurgery (TEM) a valid treatment for rectal tumors?

被引：39

作者：

Lezoche, E ^{[1
]}

Guerrieri, M ^{[1
]}

Paganini, A ^{[1
]}

Feliciotti, F ^{[1
]}

DiPietrantonj, F ^{[1
]}

机构：

[1] UNIV ANCONA,IST SCI CHIRURG,CATTEDRA CHIRURG GEN 1,ANCONA,ITALY

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1996年 / 10卷 / 07期

关键词：

rectal tumors; rectal cancer; rectal adenoma; local excision; transanal endoscopic microsurgery;

D O I：

10.1007/BF00193047

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: In 1983 G. Buess, in Germany, developed transanal endoscopic microsurgery (TEM), a new minimally invasive technique for the treatment of rectal tumors. Methods: Rectal lesions are excised through a modified rectoscope of 40 mm in diameter under stereoscopic control in the gas-dilated rectal cavity. Full-thickness excision, partial-wall excision, or mucosectomy can be performed, Seventy-one patients were treated with the TEM technique in our department. Major complications were observed in one patient (1.4%). No mortality was reported. Results: Histological examination revealed 40 (56.3%) villous adenomas, 6 (8.4%) PT1; 17 (23.9%) pT2: 5 (7%) pT3 carcinomas; and 3 ((4.2%) other lesions. The recurrence rate was 2.8% or adenomas and 2.8% for carcinomas. The overall survival at mean follow-up of 17 months was 96.4%. Conclusions: The advantages of TEM are less or no postoperative pain, unrestricted mobility, short hospitalization, quick rehabilitation, and absence of skin scars.

引用

页码：736 / 741

页数：6

共 27 条

[1]

Auteri F, 1993, Clin Ter, V142, P347

[2] DETERMINATION OF THE OPTIMAL DOSE OF 5-FLUOROURACIL WHEN COMBINED WITH LOW-DOSE D,L-LEUCOVORIN AND IRRADIATION IN RECTAL-CANCER - RESULTS OF 3 CONSECUTIVE PHASE-II STUDIES [J].

BOSSET, JF ;

PAVY, JJ ;

HAMERS, HP ;

HORIOT, JC ;

FABRI, MC ;

ROUGIER, P ;

ESCHWEGE, F ;

SCHRAUB, S .

EUROPEAN JOURNAL OF CANCER, 1993, 29A (10) :1406-1410

[3]

Buess G, 1988, Surg Endosc, V2, P245, DOI 10.1007/BF00705331

[4] TRANSANAL ENDOSCOPIC MICROSURGERY (TEM) [J].

BUESS, GF ;

MENTGES, B .

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, 1992, 1 (02) :101-109

[5] CONSERVATIVE SURGERY FOR EARLY CANCER OF THE DISTAL RECTUM [J].

COCO, C ;

MAGISTRELLI, P ;

GRANONE, P ;

RONCOLINI, G ;

PICCIOCCHI, A .

DISEASES OF THE COLON & RECTUM, 1992, 35 (02) :131-136

[6] LONG-TERM PROGNOSIS OF WELL-DIFFERENTIATED ADENOCARCINOMA IN ENDOSCOPICALLY REMOVED COLORECTAL ADENOMAS [J].

CUNNINGHAM, KN ;

MILLS, LR ;

SCHUMAN, BM ;

MWAKYUSA, DH .

DIGESTIVE DISEASES AND SCIENCES, 1994, 39 (09) :2034-2037

[7] 5 YEAR SURVIVAL IN PATIENTS WITH CARCINOMA OF THE RECTUM TREATED BY ELECTROCOAGULATION [J].

EISENSTAT, TE ;

DEAK, ST ;

RUBIN, RJ ;

SALVATI, EP ;

GRECO, RS .

AMERICAN JOURNAL OF SURGERY, 1982, 143 (01) :127-132

[8] PREOPERATIVE OR POSTOPERATIVE IRRADIATION IN ADENOCARCINOMA OF THE RECTUM - FINAL TREATMENT RESULTS OF A RANDOMIZED TRIAL AND AN EVALUATION OF LATE SECONDARY EFFECTS [J].

FRYKHOLM, GJ ;

GLIMELIUS, B ;

PAHLMAN, L .

DISEASES OF THE COLON & RECTUM, 1993, 36 (06) :564-572

[9]

GALL FP, 1988, SURG CLIN N AM, V68, P1353

[10] LOCAL EXCISION OF RECTAL-CARCINOMA [J].

GRAHAM, RA ;

GARNSEY, L ;

JESSUP, JM .

AMERICAN JOURNAL OF SURGERY, 1990, 160 (03) :306-312

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