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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: Jul 11, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

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Local excision of rectal tumours

A K Banerjee1, E C Jehle, A J Shorthouse

  • 1Department of Surgery, Eberhard-Karls Universitat, Tübingen, Germany.

The British Journal of Surgery
|September 1, 1995
PubMed
Summary

Local excision of colorectal tumors can be curative, especially with advances in minimal access techniques. Key indicators for curative local excision include mobile, T1 tumors under 3 cm with well-differentiated histology.

Area of Science:

  • Colorectal surgery
  • Surgical oncology
  • Minimally invasive surgery

Background:

  • Local excision of colorectal tumors offers palliative or curative options.
  • Minimal access techniques have expanded eligibility for curative local excision.
  • Understanding indications is crucial for optimal patient selection.

Purpose of the Study:

  • To define the criteria for potentially curative local excision of colorectal tumors.
  • To outline absolute and relative indications for this surgical approach.
  • To provide the rationale behind these recommendations.

Main Methods:

  • Review of current literature and clinical practice guidelines.
  • Assessment of tumor characteristics: mobility, staging (ultrasonography), histology (biopsy), and size.

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The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
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  • Consideration of patient fitness for surgical intervention.
  • Main Results:

    • Absolute indications: mobile, T1 tumors (<3 cm, well/moderately differentiated histology).
    • Relative indications: T2-T3 tumors, poorly differentiated histology, larger tumors (>3 cm), dependent on patient fitness.
    • Ultrasonography and biopsy are key diagnostic tools.

    Conclusions:

    • Specific tumor and patient factors dictate the suitability of local excision for colorectal cancer.
    • Advances in minimally invasive surgery broaden the application of curative local excision.
    • Clear guidelines improve the selection of patients for potentially curative local excision.