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The transanal resectoscope: an under-used instrument?
1Derby City Hospital, United Kingdom.
The Australian and New Zealand Journal of Surgery
|October 1, 1992
Summary
Transanal resection (TAR) effectively treats rectal tumors and obstruction. While successful for villous adenomas and general symptoms, it showed disappointing results for rectal stump recurrences, indicating potential for wider adoption.
Area of Science:
- Gastroenterology and Surgical Oncology
Background:
- Urological resectoscopes have been adapted for rectal tumor treatment.
- Transanal resection (TAR) presents a specialized approach for rectal conditions.
Purpose of the Study:
- To evaluate the efficacy of a purpose-built transanal resectoscope in treating rectal tumors.
- To assess the outcomes of transanal resection for villous adenomas and rectal carcinoma.
Main Methods:
- The study involved 34 patients treated with a purpose-built transanal resectoscope.
- Patient conditions included villous adenomas and rectal carcinoma, with some presenting with obstruction or recurrence.
Main Results:
- Transanal resection (TAR) successfully relieved symptoms in 13 of 14 patients with villous adenomas.
- Excellent palliation was achieved for general symptoms in rectal carcinoma patients.
- Two patients with rectal obstruction had their condition successfully relieved by TAR alone, enabling further treatment.
- Results for rectal stump recurrences were disappointing.
Conclusions:
- Transanal resection (TAR) is a valuable, potentially under-utilized technique for rectal tumors and obstruction.
- The procedure offers significant benefits for specific rectal conditions, justifying broader acceptance.