Local excision with transanal endoscopie microsurgery (TEM) after endoscopic R1/R2-polypectomy of pT1 "low-risk" carcinomas of the rectum;Lokale nachexzision nach endoskopischer R1/R2-Polypektomie von pT1-"low-risk"-karzinomen des rektums durch transanale endoskopische mikrochirurgie (TEM)

Zeitschrift fur Gastroenterologie

Volumn 44, Issue 8, 2006, Pages 647-650

  Schäfer, Hartmut Hans ^a,b   Vivaldi, C ^a   Holscher A H ^a  

^a UNIVERSITY OF COLOGNE   (Germany)

^b Visceral and Vascular Surgery   (Germany)

Author keywords

Incomplete endoscopic polypectomy; Local excision; pT1 "low risk" rectal carcinoma; Transanal endoscopic microsurgery

Indexed keywords

ARTICLE; CANCER INFILTRATION; CANCER RECURRENCE; CANCER RISK; CANCER SURGERY; CLINICAL ARTICLE; ENDOSCOPIC POLYPECTOMY; FOLLOW UP; HUMAN; LIVER METASTASIS; MICROSURGERY; RECTUM CARCINOMA; TRANSANAL ENDOSCOPIC MICROSURGERY;

ADULT; AGED; AGED, 80 AND OVER; ANAL CANAL; FEMALE; HUMANS; INTESTINAL POLYPS; MALE; MICROSURGERY; MIDDLE AGED; NEOPLASM RECURRENCE, LOCAL; PROCTOSCOPY; RECTAL NEOPLASMS; RISK ASSESSMENT; RISK FACTORS; TREATMENT OUTCOME;

EID: 33748671561     PISSN: 00442771     EISSN: None     Source Type: Journal    
DOI: 10.1055/s-2006-926877     Document Type: Article

References (22)

1. Nusko G, Mansmann U, Altendorf-Hofmann A et al. Risk of invasive carcinoma in colorectal adenomas assessed by size and site. Int J Colorectal Dis 1997; 12 (5): 267-271
2. Schmiegel W, Selbmann HK et al. SS-Guidelines Colorectal Cancer 2004. Z Gastroenterol 2004; 42: 1129-1177
3. Buess GF, Raestrup H. Transanal endoscopic microsurgery. Surg Oncol Clin N Am 2001; 10(3): 709-731
4. Heintz A, Morschel M, Junginger T. Comparison of results after transanal endoscopic microsurgery and radical resection for T1 carcinoma of the rectum. Surg Endosc 1998; 12(9): 1145-1148
5. Mentges B, Buess G, Schafer D et al. Local therapy of rectal tumors. Dis Colon Rectum 1996; 39 (8): 886-892
6. Mentges B, Buess G. Effinger G et al. Indications and results of local treatment of rectal cancer. Br J Surg 1997; 84 (3): 348-351
7. Schäfer H, Baldus SE, Gasper F et al. Submucosal infiltration and local recurrence in pT1 low-risk rectal cancer treated by transanal endoscopic microsurgery. Chirurg 2005; 76 (4): 379-384
8. Winde G, Nottberg H, Keller R et al. Surgical cure for early rectal carcinomas (T1). Transanal endoscopic microsurgery vs. anterior resection. Dis Colon Rectum 1996; 39 (9): 969-976
9. Doniec JM, Lohnert MS, Schniewind B et al. Endoscopic removal of large colorectal polyps: prevention of unnecessary surgery? Dis Colon Rectum 2003; 46 (3): 340-348
10. Seitz U, Bohnacker S, Seewald S et al. Is endoscopic polypectomy an adequate therapy for malignant colorectal adenomas? Presentation of 114 patients and review of the literature. Dis Colon Rectum 2004; 47 (11): 1789-1796; discussion 1796-1797
11. Lipper S, Kahn LB, Ackerman LV. The significance of microscopic invasive cancer in endoscopically removed polyps of the large bowel. A clinicopathologic study of 51 cases. Cancer 1983; 52(9): 1691-1699
12. Frühmorgen P, Rufle W, Kobras S et al. Endoscopic Therapy of Early Colorectal Cancer (pT1) - A Prospective Study. Z Gastroenterol 2003; 41 (8): 703-710
13. Cooper HS, Deppisch LM, Gourley WK et al. Endoscopically removed malignant colorectal polyps: clinicopathologic correlations. Gastroenterology 1995; 108(6): 1657-1665
14. Middleton PF, Sutherland LM, Maddern GJ. Transanal endoscopic microsurgery: a systematic review. Dis Colon Rectum 2005; 48 (2): 270-284
15. Nagy A, Kovacs T, Berki C et al. Surgical management of villous and tubulovillous adenomas of the rectum. Orv Hetil 1999; 140 (40): 2215-2219
16. Matzel KE, Merkel S, Hohenberger W. Treatment principles for local management of rectal cancer. Chirurg 2003; 74: 897-904
17. Kikuchi R, Takano M, Takagi K et al. Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines. Dis Colon Rectum 1995; 38 (12): 1286-1295
18. Nascimbeni R, Burgart LJ, Nivatvongs S et al. Risk of lymph node metastasis in T1 carcinoma of the colon and rectum. Dis Colon Rectum 2002; 45 (2): 200-206
19. Deinlein P, Reulbach U, Stolte M et al. Risk factors for lymphatic spread from pT1 colorectal adenocarcinoma. Pathologe 2003; 24: 387-393
20. Garcia-Aguilar J, Mellgren A, Sirivongs P et al. Local excision of rectal cancer without adjuvant therapy: a word of caution. Ann Surg 2000; 231 (3): 345-351
21. Chakravarti A, Compton CC, Shellito PC et al. Long-term follow-up of patients with rectal cancer managed by local excision with and without adjuvant irradiation. Ann Surg 1999; 230 (1): 49-54
22. Schäfer H, Baldus SE, Hölscher AH. Giant adenomas of the rectum: complete resection by transanal endoscopie microsurgery (TEM). Int J Colorectal Dis 2005; Aug 20: 1-5 [Epub ahead of print]