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Related Concept Videos

Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Endoscopic full-thickness dissection (EFTD) in the rectum: a case series.

C F Rushfeldt1, M Nordbø2, S E Steigen3,4

  • 1Department of Gastrointestinal Surgery, University Hospital of North-Norway, Tromsø, Norway. christian.rushfeldt@unn.no.

Techniques in Coloproctology
|December 29, 2021
PubMed
Summary
This summary is machine-generated.

Rectal endoscopic full-thickness dissection (EFTD) is a safe alternative for removing rectal lesions. This study of the first 10 patients showed satisfactory outcomes with a low risk of serious complications.

Keywords:
EFTDEFTREndoscopic full-thickness dissectionEndoscopic full-thickness resectionRectal adenomaRectum

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Endoscopic Surgery

Background:

  • Rectal endoscopic full-thickness dissection (EFTD) offers an alternative to trans-anal endoscopic microsurgery (TEM) and trans-anal minimally invasive surgery (TAMIS) for rectal lesion resection.
  • This study assesses the safety and outcomes of the initial rectal EFTD procedures at the University Hospital of North-Norway.

Purpose of the Study:

  • To evaluate the safety and perioperative outcomes of rectal endoscopic full-thickness dissection (EFTD).
  • To analyze the results of the first 10 patients undergoing rectal EFTD for various rectal lesions.

Main Methods:

  • A retrospective analysis of the first 10 patients who underwent rectal EFTD between April 2016 and January 2021.
  • Indications included resection of adenomas, T1 adenocarcinoma, recurrent neuroendocrine tumors, and re-excision of T1-2 adenocarcinoma.

Main Results:

  • Histopathology confirmed three adenocarcinomas, five high-grade dysplasia adenomas, one neuroendocrine tumor, and one benign lesion.
  • Complete resection with negative margins was achieved in six cases; margin evaluation was limited in three due to piecemeal dissection or thermal artifact.
  • Two patients experienced delayed hemorrhage, and one also had a post-procedural infection; no serious complications were reported.

Conclusions:

  • Rectal endoscopic full-thickness dissection (EFTD) demonstrates satisfactory perioperative results in this initial series.
  • EFTD appears to be a safe technique for rectal lesion resection with a low risk of severe complications.