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Transanal electrovaporisation of rectal tumours
1Department of General Surgery, Faculty of Medicine, University of Selçuk, Akyokuş, Konya, Turkey.
Objective:
To present our early results with endoscopic transanal electrovaporization of rectal tumours.
Design:
Retrospective study.
Setting:
Department of Surgery, Faculty of Medicine, University of Selçuk.
Subjects:
10 patients, 4 with malignant and 6 with benign lesions.
Interventions:
Vaporization of the tumour using a new ridged roller electrode, the VaporTrode, and a standard 24F urological resectoscope.
Main Outcome Measures:
Morbidity and recurrence.
Results:
There were no complications and all adenomas were vaporized completely. 2 patients with obstruction required a further treatment 3 and 5 months later because of recurrence. Median duration of operation was 22.5 minutes (range 10-38) and median duration of hospital stay was 3 days (range 1-4).
Conclusion:
The VaporTrode is a safe and potentially useful tool for transanal excision of rectal tumours, the long term efficacy of which should be tested in larger series of patients.