| Transanal endoscopic microsurgery is superior to transanal excision of rectal adenomas. | |
| | |
MedLine Citation:
|
PMID: 20345967 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Aim Comparison of transanal excision (TE) and transanal endoscopic microsurgery (TEM) of rectal adenomas (RA) has rarely been performed. Method From 1990 to 2007, the results of TE (43 RA) and TEM (216 RA) were compared. Rectal adenomas were matched for diameter and distance from the anal verge. Results Operation time was 47.5 min for TE and 35 min for TEM (P < 0.001). Morbidity was 10% after TE and 5.3% after TEM (P < 0.001). Negative resection margins were observed in 50% after TE and 88% after TEM (P < 0.001). Fragmentation of the excised specimen was observed in 23.8% after TE and 1.4% after TEM (P < 0.001). In cases of fragmentation, positive resection margins were observed more frequently. Recurrence was 28.7% after TE and 6.1% after TEM (P < 0.001). After TE, RA with a negative resection margin had a local recurrence rate of 0%, compared with 59.6% with a positive margin (P < 0.001), and after TEM these rates were 3.2 and 7.7% (P = 0.3), respectively. Conclusion Transanal endoscopic microsurgery is superior to transanal excision of RA. |
| | |
Authors:
|
E J R de Graaf; J W A Burger; A L A van Ijsseldijk; G W M Tetteroo; I Dawson; W C J Hop |
Related Documents
:
|
18398647 - Impact of laparoscopic surgery on bladder and sexual function after total mesorectal ex... 6996507 - Anterior resection for mid-rectal cancer with the eea stapling instrument. 15978147 - Comparison between open hand-sewn, laparoscopic stapled and laparoscopic computer-media... 16649117 - Preoperative anal manometry predicts continence after perineal proctectomy for rectal p... 1211517 - The reconstructed esophagus. 1387837 - Percutaneous techniques for the management of symptomatic gallbladder stones. |
Publication Detail:
|
Type: Journal Article Date: 2010-03-23 |
Journal Detail:
|
Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 13 ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-06-09 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
|
Languages: eng Pagination: 762-7 Citation Subset: IM |
Copyright Information:
|
© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland. |
Affiliation:
|
Department of General Surgery, IJsselland Hospital, Capelle aan den IJssel Department of General Surgery, Westfries Hospital, Hoorn Department of Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Emergency presentation of colon cancer is most frequent during summer.
Next Document: The relationship between internal rectal prolapse and internal anal sphincter function.