| Title |
Transanal endoscopic microsurgery (TEM) for early rectal cancer: single center experience / |
| Another Title |
Transanalinė endoskopinė mikrochirurgija anktyvam tiesiosios žarnos vėžiui gydyti. |
| Authors |
Samalavičius, Narimantas Evaldas ; Ambrazevičius, Marijus ; Kilius, Alfredas ; Petrulis, Kęstutis |
| DOI |
10.15388/LietChirur.2013.3.1837 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2013, t. 12, Nr. 3, p. 156-160.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
early rectal cancer ; transanal endoscopic microsurgery ; recurrence ; survival |
| Abstract [eng] |
Background / objective. To evaluate the initial experience with transanal endoscopic microsurgery (TEM) for early rectal cancer in a single center. Patients and methods. From February 2010 to October 2012 a total of 16 patients underwent TEM for early rectal cancer. 7 were women and 9 men, age range 52 to 88 years (median – 71 years). Postoperative surveillance protocol, which includes rigid proctoscopy, CEA and endorectal ultrasound every 3 months during first two years, was applied to all patients after TEM. Results. Final histology revealed 10 (62.5% ) lesions to be T1 and 6 (37.5%) T2 cancers. There were no postoperative complications. All 6 patients in pT2 group and those in pT1 group with unfavorable histology were offered adjuvant chemoradiotherapy or immediate radical surgery. Patients were followed up from 1 to 27 months (median – 14 months). There was one local recurrence (6.25%) in a patient who refused to undergo abdominoperineal excision for T1 low rectal cancer, had unfavorable histology after TEM, for which reason underwent postoperative chemoradiation. The patient had abdominoperineal resection 7 months after TEM (rpT2N0M0). One patient was lost to follow-up. The rest of the patients are alive and disease-free. Conclusions. In our hands, TEM was an alternative to standard total mesorectal excision in patients with low risk early rectal cancer. Further follow-up is necessary to evaluate recurrence and survival rates after TEM for patients with invasive rectal cancer. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2013 |
| CC license |
|
