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Die lokale Therapie des Rektumfrühkarzinomes in kurativer Absicht: Implikationen für eine Änderung der onkologischen Strategie

  • B. Mentges
  • G. Buess
  • G. Effinger
  • H. D. Becker
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Local Treatment of Early Rectal Cancer with Curative Intent: Implications of a Change in Oncologic Strategy

Summary

Patients with pT1 low-risk rectal carcinomas seem to be overtreated by a classical radical operation. A total of 170 patients with rectal carcinomas were locally treated with the transanal endoscopic microsurgery (TEM) technique. Four of the group with pT1 low-risk tumours with local therapy developed a recurrence, three of whom underwent a curative secondary procedure, bringing the failure rate to one out of 81. Two recurrences were diagnosed among the 22 patients who were re-resected after local treatment in stage pT1 low risk. Both patients died of the tumour disease, another due to dehiscence of the suture, bringing the failure rate in the re-resected group to three of 22.

Key words

Rectal carcinoma local treatment transanal endoscopic microsurgery 

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Literatur

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • B. Mentges
    • 1
  • G. Buess
    • 1
  • G. Effinger
    • 1
  • H. D. Becker
    • 1
  1. 1.Abteilung für Allgemeine Chirurgie und PoliklinikEberhard-Karls-Universität TübingenTübingenDeutschland

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