6533b7d6fe1ef96bd1267086
RESEARCH PRODUCT
Clinical results of transanal endoscopic microsurgery
Helmut E. GabbertS. BraunsteinK. KipfmüllerTheo JungingerAchim HeintzGerhard F. BuessIbald RHack Dsubject
AdenomaReoperationMicrosurgerymedicine.medical_specialtyAdenomamedicine.medical_treatmentRectummedicineCarcinomaHumansProspective StudiesLymph nodeClinical Trials as Topicmedicine.diagnostic_testRectal Neoplasmsbusiness.industryIntestinal PolypsPostoperative complicationColonoscopyMicrosurgerymedicine.diseaseEndoscopySurgerymedicine.anatomical_structureColonic NeoplasmsSurgeryNeoplasm Recurrence LocalbusinessAbdominal surgerydescription
Using the "transanal endoscopic microsurgery" technique, 140 patients were treated at the Department of Surgery in Cologne and Mainz. Of the patients with adenomas, 68.2% had typical symptoms preoperatively. The postoperative hospital attendance was 8.7 days, with an average resection size of 14.4 cm2. The postoperative complication rate was 5%, and there were no deaths related to the technique. In a prospective controlled trial, 2.2% of the patients with adenomas treated endoscopically in Mainz showed recidivation, requiring reoperation. The follow-up rate was 100%. In 30 cases, microscopic examination revealed carcinoma. Radical reoperation in 8 pT1 tumours showed neither remaining tumour nor lymph node metastases. Twelve patients with pT1 carcinoma treated by local surgery alone were recurrence-free with an average follow-up period of 12.3 months. So far, there have been no late results.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1988-12-01 | Surgical Endoscopy |