How to deal with rectal lesions more than 15 cm from the anal verge through transanal endoscopic microsurgery

Xavier Serra-Aracil, Raquel Gràcia, Laura Mora-López, Sheila Serra-Pla, Anna Pallisera-Lloveras, Maritxell Labró, Salvador Navarro-Soto

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Resum

© 2018 Elsevier Inc. Background: The aim of this study is to assess postoperative morbidity and mortality in tumors with a proximal margin 15 cm or more from the anal verge operated with transanal endoscopic microsurgery (TEM). Methods: This observational study of consecutive rectal tumor patients undergoing TEM was carried out from July 2004 to June 2017. We compared the results of rectal tumors at distances of ≥15 cm (group A) and <15 cm (group B) from the anal verge. Results: During the study period 667 patients were included: 118 in group A and 549 in group B. In the comparative analysis there were no significant differences in morbidity (p = 0.23), mortality (p = 0.32) or free margin involvement (p = 0.545). Differences were observed in terms of lesion size (p < 0.001), surgical time (p < 0.001) and peritoneal cavity perforation, which were all increased in group A. Conclusion: TEM for lesions in the rectosigmoid junction is feasible and is not associated with higher morbidity or mortality.
Idioma originalEnglish
Pàgines (de-a)53-58
Nombre de pàgines6
RevistaAmerican Journal of Surgery
Volum217
Número1
DOIs
Estat de la publicacióPublicada - 1 de gen. 2019

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