Local excision for rectal cancer: a minimally invasive option

被引：3
作者：
Allaix, Marco E. [1 ]
Arezzo, Alberto [1 ]
Nestorovic, Milica [1 ]
Galosi, Bianca [1 ]
Morino, Mario [1 ]
机构：
[1] Univ Turin, Dept Surg Sci, Corso AM Dogliotti 14, I-10126 Turin, Italy
来源：
MINERVA CHIRURGICA | 2018年 / 73卷 / 06期
关键词：
Transanal endoscopic microsurgery; Transanal endoscopic surgery; Rectal neoplasms; Lymph nodes; TRANSANAL ENDOSCOPIC MICROSURGERY; TOTAL MESORECTAL EXCISION; RADICAL RESECTION; SURGERY TAMIS; NEOADJUVANT CHEMORADIOTHERAPY; CHEMORADIATION THERAPY; RISK-FACTORS; OUTCOMES; CARCINOMA; NEOPLASMS;
D O I：
10.23736/S0026-4733.18.07702-7
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Transanal excision (TAE) with conventional retractors and transanal endoscopic microsurgery (TEM) are two well established minimally invasive surgical options for the treatment of selected rectal cancers. TEM is nowadays considered the standard of care for the transanal excision of rectal tumors, since it is associated with significantly better quality of excision and lower rates of recurrence than TAE. When compared with rectal resection and total mesorectal excision, TEM has lower postoperative morbidity and better functional outcomes, with similar long-term survival rates in selected early rectal cancers. More recently, transanal minimally invasive surgery (TAMIS) has been developed as an alternative to TEM. Possible benefits of TAMIS are under evaluation.
引用
收藏
页码：548 / 557
页数：10
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