American journal of surgery · 2018
How to deal with rectal lesions more than 15 cm from the anal verge through transanal endoscopic microsurgery.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Serra-Aracil Xavier, Gràcia Raquel, Mora-López Laura, Serra-Pla Sheila, Pallisera-Lloveras Anna, Labró Maritxell, Navarro-Soto Salvador
Аннотация
BACKGROUND: The aim of this study is to assess postoperative morbidity and mortality in tumors with a proximal margin 15 cm or more from the anal verge operated with transanal endoscopic microsurgery (TEM).
METHODS: This observational study of consecutive rectal tumor patients undergoing TEM was carried out from July 2004 to June 2017. We compared the results of rectal tumors at distances of ≥15 cm (group A) and <15 cm (group B) from the anal verge.
RESULTS: During the study period 667 patients were included: 118 in group A and 549 in group B. In the comparative analysis there were no significant differences in morbidity (p = 0.23), mortality (p = 0.32) or free margin involvement (p = 0.545). Differences were observed in terms of lesion size (p < 0.001), surgical time (p < 0.001) and peritoneal cavity perforation, which were all increased in group A.
CONCLUSION: TEM for lesions in the rectosigmoid junction is feasible and is not associated with higher morbidity or mortality.
METHODS: This observational study of consecutive rectal tumor patients undergoing TEM was carried out from July 2004 to June 2017. We compared the results of rectal tumors at distances of ≥15 cm (group A) and <15 cm (group B) from the anal verge.
RESULTS: During the study period 667 patients were included: 118 in group A and 549 in group B. In the comparative analysis there were no significant differences in morbidity (p = 0.23), mortality (p = 0.32) or free margin involvement (p = 0.545). Differences were observed in terms of lesion size (p < 0.001), surgical time (p < 0.001) and peritoneal cavity perforation, which were all increased in group A.
CONCLUSION: TEM for lesions in the rectosigmoid junction is feasible and is not associated with higher morbidity or mortality.