Document Detail


Transanal excision of anorectal lesions--a single centre experience.
MedLine Citation:
PMID:  20860237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Transanal excision is commonly used to treat lesions of the anorectum. It avoids the morbidity of radical pelvic surgery, while allowing for complete histopathological examination of the lesion. AIM: The aim of this study was to look at the spectrum of disease treated by transanal excision, and their outcomes, in a tertiary care institute. METHODS: Records of patients who underwent transanal excision between 2004 and 2008 were reviewed. Patients were divided into three groups. (1) Resection for benign disease (2) Curative and (3) Palliative resection for malignant disease. RESULTS: Forty six patients underwent transanal excision, 21 for benign and 25 for malignant disease, 20 with curative and 5 with palliative intent. Tubulovillous adenomas and hyperplastic polyps were the commonest benign lesions. The mean follow up was 18.6 months (4-49). There was one recurrence and one patient returned with liver metastasis. Seventeen patients with adenocarcinoma, two with melanoma and one with verrucous carcinoma underwent curative resection. Three required a second local excision and two abdominoperineal excision. Mean follow up was 28 months (4-63). There were three recurrences, one requiring a local excision and two abdominoperineal excision. Four patients with malignant melanoma and one with adenocarcinoma underwent palliative resection. All these patients had good symptom palliation. CONCLUSION: Transanal excision, when technically feasible, remains the treatment of choice for benign disease of the rectum. It offers good palliation of local symptoms in advanced malignant disease. It can be used in a carefully selected group of patients with early rectal cancer.
Authors:
Rohin Mittal; Benjamin Perakath; Suchita Chase; Mark Ranjan Jesudason; Sukria Nayak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical gastroenterology : official journal of the Digestive Diseases Foundation     Volume:  31     ISSN:  0250-636X     ISO Abbreviation:  Trop Gastroenterol     Publication Date:    2010 Jan-Mar
Date Detail:
Created Date:  2010-09-23     Completed Date:  2010-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8107122     Medline TA:  Trop Gastroenterol     Country:  India    
Other Details:
Languages:  eng     Pagination:  65-8     Citation Subset:  IM    
Affiliation:
Department of Surgery Unit 5 (Colorectal Surgery), Christian Medical College and Hospital, Vellore, Tamil Nadu, India. rohinmittal@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Anal Canal / surgery
Female
Humans
Male
Middle Aged
Neoplasm Recurrence, Local
Palliative Care
Postoperative Complications
Rectal Neoplasms / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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