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  • Transanal endoscopic microsurgery for treatment of early rectal carcinoma = Transanalna endoskopska mikrokirurgija pri zgodnjem raku danke
    Velnić, Davorin ...
    The recent understandings of tumor pathophysiology, as well as the developmentof new surgical procedures have encouraged surgeons to apply minimally invasive techniques to the treatment of certain ... types of rectal tumors. From March 1993 to May 1997, transanal endoscopic microsurgery was used in 46 patients; the Parks retractors were empoyed in 2 patients. Postoperative histological diagnosis of carcinoma was established in 18 patients; 5 patients had carcinoma in situ, 10 pT1 carcinoma, 2 pT2 and one patient pT3 lesion according to the TNM classification. Patients with pT2 and pT3 lesions were additionally treated by radical surgery. Other patients had a histological diagnosis of adenoma. They were followed up for 6 to 54 months.Apart from one conversion, there were no other operative complications.Metastatic spread was seen in one patient with T3 carcinoma 18 months after radical surgery. Two patients (4.2%) developed local recurrence 12 and 18 months after the operation, respectively. A minimally invasive approach has gained acceptance as a treatment option in selected patients withrectal carcinoma. A careful preoperative pathological examination and evaluation by endoluminal ultrasonography are necessary before considering this treatment modelity. Local therapy of rectal carcinoma is indicated in pT1lesions and histologically low-risk tumors (G1, G2). Implementation of strict selection criteria ensures acceptability of this treatment from an oncological point of view.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 3, št. 5, apr. 1998, str. 29-33)
    Vrsta gradiva - članek, sestavni del
    Leto - 1998
    Jezik - angleški
    COBISS.SI-ID - 8005593

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