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Updated: Aug 26, 2026
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Transvaginal local excision of rectal carcinoma
Tao Fu1, Baohua Liu, Shengben Zhang
1Department of General Surgery, The Third Military Medical University, Daping Hospital, Chongqing, China. futao1975@163.net
Purpose:
To recommend a new approach-transvaginal local excision of early rectal cancers-and report the results of the approach applied by dedicated surgeons at a specialized colorectal unit during a 10-year period.
Methods:
The surgical outcome of 18 patients undergoing transvaginal local resection between January 1991 and August 2001 was reviewed. Patients were identified according to the consultants' personal records and cross-referenced with the operating room logs. Data were collected retrospectively, and follow-up was performed on all patients.
Results:
A total of 18 patients underwent 18 procedures during the study period. Follow-up ranged from 2 months to 104 months. There were no treatment-related complications. Two patients suffered from recurrences at a median follow-up time of 35.7 months, but they underwent subsequent surgical treatment: APR (one) and LAR (one). No evidence of disease was found during a median follow-up of 20 months (12 and 28 months). No one died.
Conclusions:
Transvaginal local excision is an alternative and feasible technique with low rates of death and complications for the treatment of rectal cancer in strictly selected cases.
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