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[Trans-anal resection of low rectal neoplasms]
S Di Mauro1, N A Belnome, M Salibra
1Divisione di Chirurgia Generale IV, Cattedra di Chirurgia Generale, Università degli Studi, Messina, Italy.
Minerva Chirurgica
|May 16, 2001
Summary
Trans-anal resection is effective for early-stage lower rectal neoplasms. This minimally invasive technique shows promise for selected patients, reducing complications and improving outcomes.
Area of Science:
- Colorectal surgery
- Oncology
- Minimally invasive procedures
Context:
- Increasing incidence of colorectal neoplasms, particularly in the lower rectum.
- Trans-anal resection offers a therapeutic alternative for localized rectal tumors.
Purpose:
- To evaluate the efficacy and safety of trans-anal resection for low rectal neoplasms.
- To define the criteria for patient selection for this surgical approach.
Summary:
- Trans-anal resection was performed on five patients with low rectal neoplasms meeting specific criteria (size ≤4 cm, non-fixed, polypoid, non-ulcerated, <1/4 circumference involvement).
- No immediate complications were observed. Follow-up up to 36 months showed no distant metastasis, with one local recurrence successfully treated trans-anally.
Impact:
- Trans-anal resection is an elective treatment for neoplasms confined to the visceral wall without dissemination.
- It can be palliative for larger tumors, reducing mortality from occlusive complications and improving quality of life.