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Local Excision of Rectal Neoplasia

  • Mark H. WhitefordEmail author
Chapter

Abstract

Although proctectomy is the most oncologically effective treatment of rectal neoplasms, the procedure is associated with substantial morbidity and chance of temporary or permanent stoma. Transanal local excision offers a viable option for effective treatment of benign rectal neoplasms and early-stage rectal cancers. Outcomes following local excision are dependent on the thoughtful selection of patients for the procedure and optimal surgical technique. It is critical to achieve negative circumferential margins of resection and to remove the tumor without fragmentation. Unfortunately, if pelvic recurrence of cancer occurs following local excision, probability of cure with salvage treatment is low. It is possible that adjuvant or neoadjuvant chemoradiotherapy may improve oncologic outcomes.

Keywords

Local excision Transanal endoscopic microsurgery Rectal polyp Rectal cancer 

Copyright information

© ASCRS (American Society of Colon and Rectal Surgeons) 2019

Authors and Affiliations

  1. 1.Providence Portland Medical CenterProvidence Cancer CenterPortlandUSA
  2. 2.The Oregon ClinicGastrointestinal and Minimally Invasive SurgeryPortlandUSA
  3. 3.Oregon Health & Science UniversityPortlandUSA

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