Simultaneous laparoscopic and transanal approach to rectal tumors

1996 ◽  
Vol 39 (3) ◽  
pp. 358
Author(s):  
Martine Goergen ◽  
J. S. Azagra ◽  
Carlos Moreno Sanz
Keyword(s):  
Rectal Tumors ◽  
Transanal Approach

scholarly journals Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

2022 ◽  
Author(s):  
Matteo Cantatore ◽  
Juan Carlos Jimeno Sandoval ◽  
Smita Das ◽  
Alberto Sesana ◽  
Tim Charlesworth ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Rectal Tumors ◽  
Transanal Approach ◽  
Submucosal Resection

scholarly journals Transanal resection of rectal cancer: a review

2019 ◽  
Vol 6 (7) ◽  
pp. 2637
Author(s):  
Wasif Raza ◽  
Anil Kumar Lala
Keyword(s):  
Rectal Cancer ◽  
Minimally Invasive Surgery ◽  
Transanal Endoscopic Microsurgery ◽  
Transanal Minimally Invasive Surgery ◽  
Rectal Tumors ◽  
Recurrence Rates ◽  
Transanal Resection ◽  
Transanal Approach ◽  
The World ◽  
Endoscopic Microsurgery

As an alternative to conventional resection of rectal tumors with low morbidity, the transanal approach has become popular and in-demand. It’s been almost 30 years since the techniques for transanal resection have been evolving steadily. The revolution started with the advent of transanal endoscopic microsurgery in the 80’s. Later, the introduction of transanal minimally invasive surgery improved the access and visibility for surgeons across the world. Concerns have been raised about recurrence rates of cancers with transanal approach and success of subsequent salvage operations. This review is an attempt to concise the available techniques, their results and also to bring about a consensus as to whether it is worth to give our patients an option of transanal resection of rectal cancer. 

scholarly journals EFSUMB Recommendations for Gastrointestinal Ultrasound Part 3: Endorectal, Endoanal and Perineal Ultrasound

2019 ◽  
Vol 05 (01) ◽  
pp. E34-E51 ◽  
Author(s):  
Dieter Nuernberg ◽  
Adrian Saftoiu ◽  
Ana Barreiros ◽  
Eike Burmester ◽  
Elena Ivan ◽  
...  
Keyword(s):  
Inflammatory Diseases ◽  
Perineal Ultrasound ◽  
Therapy Planning ◽  
Contrast Enhanced Ultrasound ◽  
Rectal Tumors ◽  
Targeted Biopsy ◽  
Contrast Enhanced ◽  
Gastrointestinal Ultrasound ◽  
Examination Techniques ◽  
Inflammatory Bowel

AbstractThis article represents part 3 of the EFSUMB Recommendations and Guidelines for Gastrointestinal Ultrasound (GIUS). It provides an overview of the examination techniques recommended by experts in the field of endorectal/endoanal ultrasound (ERUS/EAUS), as well as perineal ultrasound (PNUS). The most important indications are rectal tumors and inflammatory diseases like fistula and abscesses in patients with or without inflammatory bowel disease (IBD). PNUS sometimes is more flexible and convenient compared to ERUS. However, the technique of ERUS is quite well established, especially for the staging of rectal cancer. EAUS also gained ground in the evaluation of perianal diseases like fistulas, abscesses and incontinence. For the staging of perirectal tumors, the use of PNUS in addition to conventional ERUS could be recommended. For the staging of anal carcinomas, PNUS can be a good option because of the higher resolution. Both ERUS and PNUS are considered excellent guidance methods for invasive interventions, such as the drainage of fluids or targeted biopsy of tissue lesions. For abscess detection and evaluation, contrast-enhanced ultrasound (CEUS) also helps in therapy planning.

The Ferguson Operating Anoscope for Resection of T1 Rectal Cancer

2016 ◽  
Vol 82 (11) ◽  
pp. 1105-1108
Author(s):  
Kristin C. Turza ◽  
Thomas Brien ◽  
Steven Porbunderwala ◽  
Christopher M. Bell ◽  
Shauna Lorenzo-rivero ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anal Verge ◽  
Tertiary Care ◽  
Primary Lung Cancer ◽  
Disease Free Survival ◽  
Rectal Tumors ◽  
Salvage Operation ◽  
T1 Rectal Cancer

The Ferguson Operating Anoscope (FOA) is a surgical instrument, which can facilitate transanal excision of appropriate rectal tumors within 15 cm of the anal verge. Previous work showed low recurrence (4.3%) for favorable T1 tumors (no lymphovascular invasion, well/moderate differentiation, negative margins). This follow-up study evaluates outcomes in rectal cancer excised with FOA at a tertiary care center. T1 rectal cancer patients were identified in a prospectively maintained database. Tumor pathology and patient characteristics were reviewed. Primary outcomes include tumor recurrence and patient and disease-free survival. Secondary outcomes are quality of excision (intact specimen). Twenty-eight patients had pathologic stage T1 rectal cancer (average 8 ± 2.6 cm from the anal verge). Final path demonstrated 14 per cent to be well differentiated, 82 per cent moderately differentiated, and 93 per cent without angiolymphatic invasion. All specimens removed were intact. One patient had a true local recurrence and underwent a salvage operation 24 months after her index operation. Patient survival was 96.4 per cent (n = one death from primary lung cancer) at median follow-up 64 ± 35 months. With appropriate tumor selection and quality of initial resection, FOA has demonstrated utility in achieving optimal oncologic resection of T1 rectal tumors.

Mutations in RAS/BRAF genes in rectal tumors: From adenomas to early carcinomas

2016 ◽  
Vol 53 (10) ◽  
pp. 1146-1151
Author(s):  
Yu. A. Shelygin ◽  
O. A. Maynovskaya ◽  
E. G. Rybakov ◽  
V. P. Shubin ◽  
S. V. Chernyshov ◽  
...  
Keyword(s):  
Rectal Tumors

Key Factors in Achieving Successful Endoscopic Dissection of Rectal Tumors

2015 ◽  
Vol 25 (2) ◽  
pp. 173-177 ◽  
Author(s):  
Michal Spychalski ◽  
Piotr Zelga ◽  
Adam Dziki
Keyword(s):  
Rectal Tumors ◽  
Key Factors

scholarly journals Transanal approach in repairing acquired rectovestibular fistula in females

2004 ◽  
Vol 10 (15) ◽  
pp. 2299 ◽  
Author(s):  
Ya-Jun Chen ◽  
Ting-Chong Zhang ◽  
Jin-Zhe Zhang
Keyword(s):  
Transanal Approach ◽  
Rectovestibular Fistula
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