Modern options in coloproctology: transanal endoscopic surgery
Abstract
The aim of review. To estimate results of transanal endoscopic resection of rectal tumors and to analyze literature data devoted to this method.
Key points. Experience of Rostov Scientific Research Institute of Oncology has allowed to confirm literature data and to turn out perspective approaches to application of transanal endoscopic resection of tumors. It was found, that transanal endoscopic resection of benign tumors and early stages of malignant tumors of rectum is a modern, highly effective method of treatment that provides radical tumor removal within any layer of rectal wall and adjacent mesorectal soft tissue due to application of exact tools and precision technic of the intervention, it preserves intestinal function as well.
Conclusion. Described options allow recommending this method to broad application in surgical practice. According to received results it is possible to conclude, that transanal endoscopic tumor resection can become a method of choice at initial stages of rectal cancer.
About the Authors
O. I. Kit
ФГБУ «Ростовский научно-исследовательский онкологический институт» Минздрава РФ
Russian Federation
Russian Federation
Yu. A. Gevorkyan
Rostov Scientific Research Institute of Oncology, Ministry of heathcare of the Russian Federation
Russian Federation
Russian Federation
N. V. Soldatkina
Rostov Scientific Research Institute of Oncology, Ministry of heathcare of the Russian Federation
Russian Federation
Russian Federation
Soldatkina Natalia V. — MD, PhD, senior research associate, department of general oncology
344037. Rostov-on-Don, 14-th line street, 63
References
1. Vorob’yev G.I., Tsarkov P.V., Sorokin Ye.V. Noninvasive treatment of tumors of low ampullary part of the rectum. Actual problems of coloproctology: Abstracts of international conference on February, 2-4, 2005 / Ed.: G.I.Vorob’yev, I.L. Khalif. М., 2005. P. 188-190.
2. Denisenko V.L. The first experience of transanal endoscopic microsurgery at treatment of rectal tumors. News of surgery 2011; 19(2):128-31.
3. Zakharash M.P. State of coloproctological aid in the Ukraine, issues and prospects. Abstracts of the 2nd international congress of coloproctologiststs of the Ukraine November 1-2, 2006 р. Lvov: Medicine, 2006. P. 21-22.
4. Mansurov Yu.V. Transanal endosurgical resection of villous tumors of rectum with application of stable extending cone-shaped operative approach. Endoscopic surgery 2010; 3:40-5.
5. Odaryuk T.S., Vorob’yev G.I., Shelygin Yu.A. Surgery of rectal cancer. M.: LLC Dedalus, 2005. P. 21.
6. Kit O.I. The issue of colorectal cancer in the beginning of XXI century: achievements and prospects. Ros zhurn gastroenterol gepatol koloproktol 2013; 23(3):65-71.
7. Sorokin E.V. Transanal endosurgical resection of benign epithelial tumors of the rectum: Author's abstract. MD degree thesis. М., 2004.26 p.
8. Chernikovsky I.L. Modern options of surgical treatment of benign tumors of the rectum with application of transanal endoscopic microsurgery: MD degree thesis. SPb, 2008. 179 p.
9. Chisov V.I., Starinsky V.V. Malignant neoplasms in Russia in 2010. М., 2011. P. 17-18.
10. Shelygin Yu.A., Kashnikov V.N., Yeropkin P.V., Peresada I.V. Organ-preserving methods of treatment of early stages of rectal cancer. Klin onkol 2011. Special edition I.
11. Yudin I.V. Application of minimally invasive technologies for transanal resection of tumors of the rectum: Author's abstract. MD degree thesis. Ryazan, 2007.24 p.
12. Yaitsky N.A., Sedov V.M., Vasilyev S.V. Tumor of the colon. M.: «MEDpress-inform», 2004. P. 250-252.
13. Baatrup G., Breum B., Qvist N., et al. Transanal endoscopic microsurgery in 143 consecutive patients with rectal adenocarcinoma: results from a Danish multicenter study. Colorectal Dis 2009; 11(3):270-5.
14. Bach S.P. , Hill J., Monson J.R.T., et al. A predictive model for local recurrence after transanal endoscopic microsurgery for rectal cancer. Br J Surg 2009; 96:280-90.
15. Bretagnol F., Merrie A., George B., et al. Local excision of rectal tumours by transanal endoscopic microsurgery. Br J Surg 2007; 94(5):627-33.
16. Buess G., Kipfmuller K., Hack D., et al. Technique of microsurgery. Surg Endosc 1988; 2:71.
17. Buess G., Kipfmuller K., Ibald R., et al. Clinical results of transanal endoscopic microsurgery. Surg Enclose 1988; 2:245.
18. Buess G., Mentges B., Mawhecke K., et al. Minimal invasive surgery in the local treatment of rectal cancer. Int J Colorectal Dis 1991; 6:77.
19. Buess G., Theiss R., Hutterer F., et al. Die transanale endoscopische rectumoperation — erprobung einer neuen methode im tierversuch. Leber Magen Darm 1983; 13:73-7. 20. De Graaf E.J., Doornebosch P.G., Tollenaar R.A., et al. Тransanal endoscopic microsurgery versus total mesorectal excision of T1 rectal adenocarcinomas with curative intention. Eur J Surg Oncol 2009; 35(12):1280-5.
20. Dickinson A.J., Savage A.P., Mortensen N.J., Kettlewell M.G. Long-term survival after endoscopic transanal resection of rectal tumours. Br J Surg 1993; 80:1401-4.
21. Duek Simon D., Issa Nidal, Hershko Dan D., et al. Outcome of transanal endoscopic microsurgery and adjuvant radiotherapy in patients with T2 rectal cancer. Dis Colon Rectum 2008; 51:379-84.
22. Floyd N.D., Saclarides T.J. Transanal endoscopic microsurgical resection of pT1 rectal tumors. Dis Colon Rectum 2006; 49(2):164-8.
23. Huber P. J., Reiss G. Rectal tumors: treatment with a posterior approach. Am Surg 1993; 166:760-3.
24. Killingback M.J. Indications for local excision of rectal cancer. Br J Surg 1985; 72(Suppl):54-6.
25. Lee W., Lee D., Choi S., et al. Transanal endoscopic microsurgery and radical surgery for T1 and T2 rectal cancer. Surg Endosc 2003; 17:1283-7.
26. Lezoche E., Baldarelli M., de Sanctis A., et al. Early rectal cancer: definition and management. Dig Dis 2007; 25(1):76-9. 28. Lezoche E., Guerrieri M., Paganini A., et al. Is transancil en-doscopic microsurgery (TEM) a valid treatment for rectal tumors? Surg Endosc 1996; 10:736-41.
27. Lin G.L., Lau P. Y., Qiu H.Z., Yip A.W. Local resection for early rectal tumours: сomparative study of transanal endoscopic microsurgery (TEM) versus posterior transsphincteric approach (Mason’s operation). Asian J Surg 2007; 29(4):227-32.
28. Lock M.R. Fifty years of local excision for rectal carcinoma. Ann R Coil Surg Engi 1990; 72:170-1.
29. Maslekar S., Pillinger S.H., Monson J.R. Transanal endoscopic microsurgery for carcinoma of the rectum. Surg Endosc 2007; 21(1):97-102.
30. Maslekar S., Pillinger S.H., Sharma A. Cost analysis of transanal endoscopic microsurgery for rectal tumors. Colorectal Dis 2007; 9(3):229-34.
31. Mentges B., Buess G., Effinger G., et al. Indications and results of local treatment of rectal cancer. Br J Surg 1997; 84:348-51.
32. Nascimbeni R., Burgart L.J., Nivatvongs S., et al. Risk of lymph node metastasis in T1 carcinoma of the colon and rectum. Dis Colon Rectum 2002; 45(2):200-6.
33. Ptok H., Marusch F., Meyer F., et al. Oncological outcome of local vs radical resection of low-risk pT1 rectal cancer. Arch Surg 2007; 142(7):649-54.
34. Slisow W., Kolbow C., Fischer J. Perioperative klinisch-pathomorphologische Beurteilung des pararektalen Lymphknotenstatus und ihr Beitrag zur definiliven Entscheidung fur erne lokale Exstirpation des Rektumkarzinoms. Zentralhl Chir 1993; 118:197-202.
35. Steele R.J., Hershman M.J., Mortensen N.J., et al. Transanal endoscopic microsurgery-initial experience from three centres in the United Kingdom. Br J Surg 1996; 83:207-10.
36. Stipa F., Burza A., Lucandri G., et al. Outcomes for early rectal cancer managed with transanal endoscopic microsurgery. A5-year follow-up study. Surg Endosc 2006; 20:541-5.
37. Swanstrom L.L., Smiley P. , Zeiko J., Cagle L. Video endoscopic transanal rectal tumor excision. Am Surg 1997; 173:383-5.
38. Temple L.K., Bacik J., Savatta S.G., et al. The development of a validated instrument to evaluate bowel function after sphincter-preserving surgery for rectal cancer. Dis Colon Rectum 2005; 48:1353-65.
39. Vorobiev G.I., Tsarkov P. V., Sorokin E.V. Gasless transanal endoscopic surgery for rectal adenomas and early carcinomas. Tech Coloproctol 2006; 10(4):277-81.
40. Wallner C., Lange M.M., Bonsing B.A., et al. Causes of fecal and urinary incontinence after total mesorectal excision for rectal cancer based on cadaveric surgery: A study from the cooperative clinical investigators of the Dutch total mesorectal excision trial. J Clin Oncol 2008; 26:4466-72.
41. You Y.N., Baxter N.N., Stewart A., et al. Is the increasing rate of local excision for stage I rectal cancer in the United States justified?: A nationwide cohort study from the National Cancer Database. Ann Surg 2007; 245(5):726-33.
Review
For citations:
Kit O.I., Gevorkyan Yu.A., Soldatkina N.V. Modern options in coloproctology: transanal endoscopic surgery. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2015;25(4):86-91. (In Russ.)
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