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Comparison of results after transanal endoscopic microsurgery and radical resection for T1 carcinoma of the rectum

HEINTZ, A ; MÖRSCHEL, M ; JUNGINGER, T

Surgical endoscopy, 1998-09, Vol.12 (9), p.1145-1148 [Periódico revisado por pares]

New York, NY: Springer

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Título:
Comparison of results after transanal endoscopic microsurgery and radical resection for T1 carcinoma of the rectum
Autor: HEINTZ, A ; MÖRSCHEL, M ; JUNGINGER, T
Assuntos: Adenocarcinoma - mortality ; Adenocarcinoma - secondary ; Adenocarcinoma - surgery ; Adenoma - mortality ; Adenoma - surgery ; Aged ; Biological and medical sciences ; Endoscopy ; Female ; Humans ; Male ; Medical sciences ; Microsurgery ; Middle Aged ; Neoplasm Recurrence, Local ; Postoperative Complications ; Rectal Neoplasms - mortality ; Rectal Neoplasms - surgery ; Retrospective Studies ; Risk Factors ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Survival Rate
É parte de: Surgical endoscopy, 1998-09, Vol.12 (9), p.1145-1148
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: We compared the results of transanal endoscopic microsurgery and radical surgery in patients with T1 carcinomas of the rectum. We performed a retrospective study (1985-96) to compare the results obtained in 103 patients with T1 rectal carcinomas (low-risk T1, n = 80; high-risk T1; n = 23) undergoing transanal endoscopic microsurgery and radical surgical therapy. The complication rate in patients undergoing local excision was 3.4% (two of 58); it was 18% (eight of 45) in the group treated with radical surgery. Two of 45 patients (3.8%) died after radical resection; there were no deaths after local excision. With regard to the actuarial 5-year survival rate, no difference was observed in the group with low-risk T1 carcinoma between patients treated with local excision (79%) and those who had radical resection (81%) (p = 0.72). In patients with high-risk T1 carcinoma, lymph node metastases were identified in four of 11 patients undergoing radical resection (36%). Four of 12 patients with high-risk T1 carcinoma treated by local excision developed recurrences, whereas none of the patients undergoing primary radical surgery had a recurrence. Transanal endoscopic microsurgery for the treatment of low-risk T1 carcinomas is associated with a significantly lower complication rate than radical surgical therapy. There is no difference in 5-year survival between local and radical surgical therapy in patients with low-risk T1 carcinoma.
Editor: New York, NY: Springer
Idioma: Inglês

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Comparison of results after transanal endoscopic microsurgery and radical resection for T1 carcinoma of the rectum

HEINTZ, A ; MÖRSCHEL, M ; JUNGINGER, T

New York, NY: Springer

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