Mentges B, Buess G, Effinger G, Manncke K, Becker HD. Indications and results of local treatment of rectal cancer.
Br J Surg 1997. [PMID:
9117305 DOI:
10.1046/j.1365-2168.1997.02556.x]
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Abstract
BACKGROUND
Local therapy of early rectal carcinoma has become an alternative to the classical radical operation which has a higher morbidity and mortality rate.
METHODS
Rectal carcinoma was treated by transanal endoscopic microsurgery (TEM) in 113 patients. The indications for the procedure were pT1 low-risk tumour, advanced tumour in high-risk patients, and patients who refused more radical surgery based on oncological guidelines.
RESULTS
Sixty-four patients had pT1, 33 pT2 and 16 pT3 tumours. No patient died as a result of TEM. The rate of complications which needed operative intervention was 7 per cent. So far, two of the patients treated by local resection of pT1 low-risk tumours have had a recurrence. In both cases, a secondary procedure was possible with curative intent.
CONCLUSION
Patients with pT1 rectal tumours represent a suitable group for local treatment because of the acceptability of the procedure and the low recurrence rate.
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