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Related Experiment Video

Updated: Dec 22, 2025

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[Transanal resection procedures-current status].

Marco Sailer1

  • 1Klinik für Chirurgie, Bethesda Krankenhaus Bergedorf, Glindersweg 80, 21029, Hamburg, Deutschland. sailer@bkb.info.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|May 10, 2020
PubMed
Summary
This summary is machine-generated.

Transanal resection offers minimally invasive treatment for rectal tumors, including low-risk T1 carcinomas, achieving excellent oncological and functional outcomes. Ongoing trials explore its role after neoadjuvant therapy, potentially improving patient quality of life.

Keywords:
Complete remissionFunctional resultsLow-risk T1 rectal carcinomasNeoadjuvant therapyRectal tumor

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Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Minimally Invasive Procedures

Background:

  • Transanal resection is a minimally invasive technique for rectal tumors.
  • It is suitable for benign tumors and selected low-risk T1 rectal carcinomas with R0 resection.
  • Stringent patient selection is crucial for achieving good oncological results.

Purpose of the Study:

  • To evaluate the oncological sufficiency of local resection procedures after neoadjuvant therapy.
  • To highlight the excellent functional outcomes and quality of life associated with transanal resection.
  • To compare transanal resection with alternative surgical options like low rectal resection or abdominoperineal extirpation.

Main Methods:

  • Review of existing studies and international trials on transanal resection.
  • Analysis of oncological outcomes (R0 resection) based on tumor characteristics and patient selection.
  • Assessment of functional results and postoperative quality of life.

Main Results:

  • Transanal resection achieves very good oncological results in selected patients with low-risk T1 rectal carcinomas.
  • Ongoing trials are investigating the efficacy of local resection following neoadjuvant radiotherapy/chemotherapy.
  • Studies confirm excellent functional results and improved quality of life compared to traditional rectal surgeries.

Conclusions:

  • Transanal resection is a valuable minimally invasive option for specific rectal tumors.
  • It offers superior functional outcomes and quality of life compared to more extensive surgeries.
  • Further research is validating its role in the neoadjuvant setting.