Volume 2 Issue 1
Jan.  2011
Turn off MathJax
Article Contents
Hui-zhong QIU, Guo-le LIN, Yi XIAO, Bin WU. Application of Transanal Endoscopic Microsurgery in 120 Patients with Rectal Neoplasms[J]. Medical Journal of Peking Union Medical College Hospital, 2011, 2(1): 33-36. doi: 10.3969/j.issn.1674-9081.2011.01.007
Citation: Hui-zhong QIU, Guo-le LIN, Yi XIAO, Bin WU. Application of Transanal Endoscopic Microsurgery in 120 Patients with Rectal Neoplasms[J]. Medical Journal of Peking Union Medical College Hospital, 2011, 2(1): 33-36. doi: 10.3969/j.issn.1674-9081.2011.01.007

Application of Transanal Endoscopic Microsurgery in 120 Patients with Rectal Neoplasms

doi: 10.3969/j.issn.1674-9081.2011.01.007
More Information
  • Corresponding author: QIU Hui-zhong   Tel:010-65296025, E-mail:qiuhzpumc@yahoo.com.cn
  • Received Date: 2010-10-09
  • Publish Date: 2011-01-30
  •   Objective  To investigate the effectiveness of transanal endoscopic microsurgery(TEM) in treating rectal neoplasms.  Methods  The clinical data of 120 patients with rectal neoplasms which were treated using TEM between April 2006 and November 2009 were summarized and analyzed retrospectively. The mean diameter of rectal lesions was(1.8±0.8)cm(range:0.5-5.5 cm). The average distance of lesions from the anal verge was(7.5±2.6)cm(range, 4-20 cm). The orientations of the lesions at the rectal wall were as follows:43 at the anterior wall, 30 at the posterior wall, 26 at the left wall, and 21 at the right wall.  Results  Surgical procedures included the transmural excision(n=106)and the submucosal excision with partial muscular layer excision(n=14). The average operating time was(73.4±31.1)min(range, 25-180 min). The mean intra-operative blood loss was(10.7±7.8)ml(range, 3-60 ml). The postoperative pathological examination identified 43 retcal adenomas, 39 rectal adenocarcinomas or carcinomatous changes of adenomas(22 Tis, 8 T1, and 9 T2 cases), 15 rectal carcinoids, 2 stromal tumor, 1 leiomyoma, and 20 inflammatory polyps or others. Surgical margins of all specimens were negative. Postoperative complications included anal hemorrhage(n=2), pulmonary infection(n=1), and urinary infection(n=1), making a postoperative morbidity of 3.3%. The average postoperative hospital stay was(3.4±1.3)d(range, 2-8 d). With a mean follow-up of 13.5 months(range, 3-4 months), no tumor recurrence or metastasis was observed.  Conclusions   TEM is a minimally invasive surgery and has advantages of low intra-operative blood loss, better therapeutic effectiveness, and faster recovery. It has became a preferred procedure for local excision of rectal neoplasms.
  • loading
  • [1] Buess G, Mentges B, Manncke K, et al.Technique and results of transanal endoscopic microsurgery in early rectal cancer[J].Am J Surg, 1992, 163:63-69. https://www.ncbi.nlm.nih.gov/pubmed/1733375
    [2] 邱辉忠.经肛门内镜微创手术的临床现状[J].中国实用外科杂志, 2007, 27:446-448. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgsywkzz200706009
    [3] Mellgren A, Sirivongs P, Rothenberger DA, et al.Is local excision adequate therapy for early rectal cancer[J].Dis Colon Rcctum, 2000, 43:1064-1074. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=WK_LWW201705250488709
    [4] Platell C.Transanal endoscopic microsurgery[J].ANZ J Surg, 2009, 79:275-280. https://www.ncbi.nlm.nih.gov/pubmed/1473424
    [5] Endreseth BH, Myrvold HE, Romundstad P, et al.Transanal excision vs.major surger for T1 rectal cancer[J].Dis Colon Rectum, 2005, 48:1380-1388.
    [6] Casadesus D.Transanal endoscopic microsurgery:a review[J].Endoscopy, 2006, 38:418-423. http://cn.bing.com/academic/profile?id=945f0eec9cb4cf7fa8ac50a45bd6fd7f&encoded=0&v=paper_preview&mkt=zh-cn
    [7] Maslekar S, Beral DL, White TJ, et al.Transanal endoscopic microsugery:where are we now[J].Dig Surg, 2006, 23:12-22.
    [8] Lezoche G, Baldarelli M, Guerrieri M, et al.Aprospective randomized study with a 5-year minimum follow-up evaluation of transanal endoscopic microsurgery versus laparoscopic total mesorectal excision after neoadjuvant therapy[J].Surg Endosc, 2008, 22:352-358.
    [9] Zorcolo L, Fantola G, Cabras F, et al.Preoperative staging of patients with rectal tumors suitable for transanal endoscopic microsurgery:comparison of endorectal ultrasound and histopathologic findings[J].Surg Endosc, 2009, 23:1384-1389. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_JJ0211222377
    [10] Weiser MR, Landmann RG, Wong WD, et al.Surgical salvage of recurrent rectal cancer after transanal excision[J].Dis Colon Rectum, 2005, 48:1169-1175. http://cn.bing.com/academic/profile?id=187b567b1f9a0bb1af01fb00968198f1&encoded=0&v=paper_preview&mkt=zh-cn
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(1)

    Article Metrics

    Article views (129) PDF downloads(6) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return