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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 23 - 27 (5page)
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Purpose: The purpose of this study was to look at our complication rates and recurrence rates, as well as the need for further radical surgery, in treating patients with benign and early malignant rectal tumors by using transanal endoscopic microsurgery (TEM). Methods: Our study included 130 patients who had undergone TEM for rectal adenomas and early rectal cancer from December 2009 to December 2015 at the Department of Surgical Oncology, National Cancer Institute, Lithuania. Patients underwent digital and endoscopic evaluation with multiple biopsies. For preoperative staging, pelvic magnetic resonance imaging or endorectal ultrasound was performed. We recorded the demographics, operative details, final pathologies, postoperative lengths of hospital stay, postoperative complications, and recurrences. Results: The average tumor size was 2.8 ± 1.5 cm (range, 0.5–8.3 cm). 102 benign (78.5%) and 28 malignant tumors (21.5%) were removed. Of the latter, 23 (82.1%) were pT1 cancers and 5 (17.9%) pT2 cancers. Of the 5 patients with pT2 cancer, 2 underwent adjuvant chemoradiotherapy, 1 underwent an abdominoperineal resection, 1 refused further treatment and 1 was lost to follow up. No intraoperative complications occurred. In 7 patients (5.4%), postoperative complications were observed: urinary retention (4 patients, 3.1%), postoperative hemorrhage (2 patients, 1.5%), and wound dehiscence (1 patient, 0.8%). All complications were treated conservatively. The mean postoperative hospital stay was 2.3 days. Conclusion: TEM in our experience demonstrated low complication and recurrence rates. This technique is recommended for treating patients with a rectal adenoma and early rectal cancer and has good prognosis.
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참고문헌 (29)
참고문헌 신청
Global Burden of Disease Cancer Collaboration / 2015 / The global burden of cancer 2013 / JAMA Oncol 1:505~527
Lunevicius R / 2015 / National burden of colorectal cancer in Lithuania and the ranking of Lithuania within the 45 European nations / Oncol Lett 10:433~438
Morson B. / 1974 / The polyp-cancer sequence in the large bowel / Proc R Soc Med 67(6 Pt 1):451~457
Ponz de Leon M / 2001 / Pathology of colorectal cancer / Dig Liver Dis 33:372~388
Heald RJ / 1998 / Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997 / Arch Surg 133:894~899
Lunevicius R / 2015 / National burden of colorectal cancer in Lithuania and the ranking of Lithuania within the 45 European nations / Oncol Lett 10:433~438
Morson B. / 1974 / The polyp-cancer sequence in the large bowel / Proc R Soc Med 67(6 Pt 1):451~457
Ponz de Leon M / 2001 / Pathology of colorectal cancer / Dig Liver Dis 33:372~388
Heald RJ / 1998 / Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997 / Arch Surg 133:894~899
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