Analysis of 32 patients with rectal adenoma undergoing transanal endoscopic microsurgery / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 910-912, 2010.
Article
in Zh
| WPRIM
| ID: wpr-237190
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the safety and outcomes after transanal endoscopic microsurgery (TEM)for rectal adenoma.</p><p><b>METHODS</b>Data of 32 patients undergoing TEM for rectal adenoma between September 2006 and February 2010 in the Ruijin Hospital were reviewed.</p><p><b>RESULTS</b>The adenoma diameter ranged from 0.6 to 10.0(2.3±1.2) cm. The mean operative time was 70(range,20-180) min. The estimated blood loss was less than 10 ml. There were no conversions to transabdominal procedure. Twenty-two(68.8%) patients underwent suturing of the wound, of whom 14 had full-thickness resection. Two patients had perforation into peritoneal cavity during full-thickness resection, which were repaired by continuous suturing and no postoperative leak occurred. R0 resection was achieved in 31(96.9%) patients. Postoperative pathology showed 12 simple adenomas, 10 adenomas with low grade intraepithelial neoplasia, 5 adenomas with high grade intraepithelial neoplasia, and 5 T1 focal carcinomas. Complications included rectal bleeding in 1 patient, acute urinary retention in 1 patient, and pulmonary infection in 1 patient. The postoperative stay was 4.5(3-8) days. The patients were followed-up for a period of 23 months(range, 2-43 months). There were 2 tumors recurred.</p><p><b>CONCLUSION</b>TEM is a safe and effective minimally invasive surgical technique for large rectal adenomas.</p>
Full text:
1
Index:
WPRIM
Main subject:
Anal Canal
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Rectal Neoplasms
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General Surgery
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Adenoma
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Retrospective Studies
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Follow-Up Studies
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Proctoscopy
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Treatment Outcome
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Methods
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Aged
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2010
Type:
Article