Abstract
As this book deals with complications in proctological surgery, this chapter will not cover anterior resection and abdomino-perineal excision of the rectum. Nevertheless, there is much to discuss, since, with the increasing popularity of transanal endoscopic mucosectomy (TEM) and increased knowledge on the oncological indications for local excision (LE) of a rectal tumor, numerous studies have been carried out and many patients undergoing colorectal surgery may now be effectively cured.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Suggested Readings
Akin M, Gokbayir H, Kilic K et al (2008) Rhomboid excision and Limberg flap for managing pilonidal sinus: long-term results in 411 patients. Colorectal Dis 10:945–948
Allaix ME, Arezzo A, Caldart M et al (2009) Transanal endoscopic microsurgery for rectal neoplasms: experience of 300 consecutive cases. Dis Colon Rectum 52:1831–1836
Baatrup G, Elbrønd H, Hesselfeldt P et al (2007) Rectal adenocarcinoma and transanal endoscopic microsurgery. Diagnostic challenges, indications and short term results in 142 consecutive patients. Int J Colorectal Dis 22:1347–1352
Bach SP, Hill J, Monson JR et al (2009) A predictive model for local recurrence after transanal endoscopic microsurgery for rectal cancer. Br J Surg 96:280–2
Barker JA, Hill J (2011) Incidence, treatment and outcome of rectal stenosis following transanal endoscopic microsurgery. Tech Coloproctol 15 (in press)
Bergamaschi R, Manunta A, Arnaud JP (1999) Endoscopic trans-anal resection for palliation of acutely obstructed rectal cancer in frail elderly patients. Tech Coloproctol 3:15–17
Betambeau N, Simson JN (2007) Staged anterior resection and TEM to preserve rectal function in synchronous malignant and benign rectal lesions. Colorectal Dis 9:469–471
Bignell MB, Ramwell A, Evans JR et al (2010) Complications of transanal endoscopic microsurgery (TEM): a prospective audit. Colorectal Dis 12:99–103
Bouchoucha M, Devroede G, Arsac M (2004) Anismus: a marker of multi-site functional disorders? Int J Colorectal Dis 19:374–379
Buess G (1998) Complications following transanal endoscopic microsurgery. Surg Technol Int 7:170–173
Buess G, Theiss R, Gunther M et al (1984) Endoscopic operative procedure for the removal of rectal polyps. Coloproctology 6:254–261
Canessa CE, Miegge LM, Bado J (2004) Anatomic study of lateral pelvic lymph nodes: implications in the treatment of rectal cancer. Dis Colon Rectum 47:297–303
Cataldo PA, O’Brien S, Osler T (2005) Transanal endoscopic microsurgery: aprospective evaluation of functional results. Dis Colon Rectum 48:1366–1371
Darwood RJ, Wheeler JM, Borley NR (2008) Transanal endoscopic microsurgery is a safe and reliable technique even for complex rectal lesions. Br J Surg. 95:915–918
de Graaf EJ, Doornebosch PG, Tetteroo GW et al (2009) Transanal endoscopic microsurgery is feasible for adenomas throughout the entire rectum: a prospective study. Dis Colon Rectum 52:1107–1113
de Graaf EJR, Burger JWA, van Ijsseldijk ALA et al (2011) Transanal endoscopic microsurgery is superior to transanal excision of rectal adenomas. Colorect Dis 13:762–767
De Santis G, Gola PS, Lancione L et al (2011) Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy. Tech Coloproctol in press
Dias AR, Nahas CS, Marques CF et al (2009) Transanal endoscopic microsurgery: indications, results and controversies. Tech Coloproctol 13:105–111
Doornebosch PG, Gosselink MP, Neijenhuis PA et al (2008) Impact of transanal endoscopic microsurgery on functional outcome and quality of life. Int J Colorectal Dis 23:709–713
Duek SD, Issa N, Hershko DD, Krausz MM (2008) Outcome of transanal endoscopic microsurgery and adjuvant radiotherapy in patients with T2 rectal cancer. Dis Colon Rectum 51:379–384
Endreseth BH, Wibe A, Svinsås M et al (2005) Postoperative morbidity and recurrence after local excision of rectal adenomas and rectal cancer by transanal endoscopic microsurgery. Colorectal Dis 7:133–137
Featherstone JM, Grabham JA, Fozard JB (2004) Per-anal excision of large, rectal, villous adenomas. Dis Colon Rectum 47:86–89
Forshaw MJ, Maphosa G, Sankararajah D et al (2006) Endoscopic alternatives in managing anastomotic strictures of the colon and rectum. Tech Coloproctol 10:21–27
Ganai S, Kanumuri P, Rao RS, Alexander AI (2006) Local recurrence after transanal endoscopic microsurgery for rectal polyps and early cancers. Ann Surg Oncol 13:547–556
Gavagan JA, Whiteford MH, Swanstrom LL (2004) Full-thickness intraperitoneal excision by transanal endoscopic microsurgery does not increase short-term complications. Am J Surg 187:630–634
Gervaz P, Huber O, Bucher P et al (2008) Trans-sacral (Kraske) approach for gastrointestinal stromal tumour of the lower rectum: old procedure for a new disease. Colorectal Dis 10:951–952
Groebli Y, Tschantz P (1994) Should the posterior approach to the rectum be forgotten?. Helv Chir Acta 60:599–604
Guerrieri M, Baldarelli M, de Sanctis A et al (2010) Treatment of rectal adenomas by transanal endoscopic microsurgery: 15 years’ experience. Surg Endosc 24:445–449
Heintz A, Mörschel M, Junginger T (1998) Comparison of results after transanal endoscopic microsurgery and radical resection for T1 carcinoma of the rectum. Surg Endosc 12:1145–1148
Jeong WK, Park JW, Choi HS et al (2009) Transanal endoscopic microsurgery for rectal tumors: experience at Korea’s National Cancer Center. Surg Endosc 23:2575–2579
Keighley MA (2001) Anorectal Disorders. In: Baker RJ, Fischer JE (eds) Mastery of surgery, 4 edn. Lippincott Williams & Wilkins, Sydney
Kosciñski T, Malinger S, Drews M (2003) Local excision of rectal carcinoma not-exceeding the muscularis layer. Colorectal Dis 5:159–163
Kreissler-Haag D, Schuld J, Lindemann W et al (2008) Complications after transanal endoscopic microsurgical resection correlate with location of rectal neoplasms. Surg Endosc 22:612–616
Kridel R, Cochet S, Roche B et al (2011) Successful closure of anal cancer-related fistulas with upfront intra-arterial chemotherapy: a report of 8 cases. Dis Colon Rectum 54:566–569
Kumar A, Stahl T, Fitzgerald J et al (2010) Rectal carcinoid tumors resected by transanal endoscopic microsurgery (TEM): first reported U.S. series. ASCRS Meeting Abstracts, Dis Colon Rectum 53:639
Langer C, Liersch T, Süss M et al (2003) Surgical cure for early rectal carcinoma and large adenoma: transanal endoscopic microsurgery (using ultrasound or electrosurgery) compared to conventional local and radical resection. Int J Colorectal Dis 18:222–229
Lebedyev A, Tulchinsky H, Rabau M et al (2009) Long-term results of local excision for T1 rectal carcinoma: the experience of two colorectal units. Tech Coloproctol 13:231–236
Lev-Chelouche D, Margel D, Goldman G, Rabau MJ (2000) Transanal endoscopic microsurgery: experience with 75 rectal neoplasms. Dis Colon Rectum 43:662–667
Lezoche G, Baldarelli M, Guerrieri M et al (2008) A prospective randomized study with a 5-year minimum follow-up evaluation of transanal endoscopic microsurgery versus laparoscopic total mesorectal excision after neoadjuvant therapy. Surg Endosc 22:352–358 Epub 2007 Oct 18. Erratum in: Surg Endosc. 2008 Jan 22:278
Lezoche G, Guerrieri M, Baldarelli M et al (2010) Transanal endoscopic microsurgery for 135 patients with small nonadvanced low rectal cancer (iT1-iT2, iN0): short-and long-term results. Surg Endosc 25:1222–1229
Maeda K, Maruta M, Utsumi T et al (2002) Minimally invasive transanal surgery for localized rectal carcinoid tumors. Tech Coloproctol. 6:33–36
Melis M, Gruel R, Darwin P et al (2009) Full thickness transanal re-excision following endoscopic removal of malignant rectal polyps. Int J Colorectal Dis 24:531–536
Meng WC, Lau PY, Yip AW (2004) Treatment of early rectal tumours by transanal endoscopic microsurgery in Hong Kong: prospective study. Hong Kong Med J 10:239–243
Middleton PF, Sutherland LM, Maddern GJ (2005) Transanal endoscopic microsurgery: a systematic review. Dis Colon Rectum 48:270–284
Moore JS, Cataldo PA, Osler T, Hyman NH (2008) Transanal endoscopic microsurgery is more effective than traditional transanal excision for resection of rectal masses. Dis Colon Rectum 51:1026–1030
Moraes Rda S, Malafaia O, Telles JE et al (2008) Transanal endoscopic microsurgery in the treatment of rectal tumors: a prospective study in 50 patients. Arq Gastroenterol 45:268–274
Nano M, Ferronato M, Solej M, D’Amico S (2006) T1 adenocarcinoma of the rectum: transanal excision or radical surgery? Tumori 92:469–473
Nascimbeni R, Nivatvongs S, Larson DR, Burgart LJ (2004) Long-term survival after local excision for T1 carcinoma of the rectum. Dis Colon Rectum 47:1773–1779
Nicholls J (2007) Local excision of rectal carcinoma. Colorectal Dis 9:771–772
Orkin BA, Sinykin SB, Lloyd PC (2010) The digital rectal examination scoring system (DRESS). Dis Colon Rectum 53:1656–1660
Paganini AM, Guerrieri M, Rotundo A, Lezoche E (2007) When can local excision be considered adequate for treatment of non advanced low rectal cancer (NALRC)? Tech Coloproctol 11:378
Palma P, Freudenberg S, Samel S, Post S (2004) Transanal endoscopic microsurgery: indications and results after 100 cases. Colorectal Dis 6:350–355
Palma P, Horisberger K, Joos A et al (2009) Local excision of early rectal cancer: is transanal endoscopic microsurgery an alternative to radical surgery? Rev Esp Enferm Dig 101:172–178
Pescatori M, Brusciano L, Binda GA, Serventi A (2005) A novel approach for perirectal tumours: the perianal intersphincteric excision. Int J Colorectal Dis 20:72–75
Ramirez JM, Aguilella V, Arribas D, Martinez M (2002) Transanal full-thickness excision of rectal tumours: should the defect be sutured? a randomized controlled trial. Colorectal Dis 4:51–55
Ramwell A, Evans J, Bignell M et al (2009) The creation of a peritoneal defect in transanal endoscopic microsurgery does not increase complications. Colorectal Dis 11:964–966
Saclarides TJ (2007) TEM/local excision: indications, techniques, outcomes, and the future. J Surg Oncol 96:644–650
Seman M, Bretagnol F, Guedj N et al (2010) Transanal endoscopic microsurgery (TEM) for rectal tumor: the first French single-center experience. Gastroenterol Clin Biol 34:488–493
Serra Aracil X, Gómez DÃaz C, Bombardó Junca J et al (2010) Surgical excision of retrorectal tumour using transanal endoscopic microsurgery. Colorectal Dis 12:594–595
Stanley JD, Bell C, Hinkle N et al (2010) The Ferguson Operating Anoscope as a minimally invasive option for the treatment of rectal tumors. Am Surg 76:850–856
Tsai BM, Finne CO, Nordenstam JF et al (2010) Transanal endoscopic microsurgery resection of rectal tumors: outcomes and recommendations. Dis Colon Rectum 53:16–23
Tsai JA, Hedlund M, Sjoqvist U et al (2006) Experience of endoscopic transanal resections with a urologic resectoscope in 131 patients. Dis Colon Rectum 49:228–232
van den Broek FJ, de Graaf EJ, Dijkgraaf MG et al (2009) Transanal endoscopic microsurgery versus endoscopic mucosal resection for large rectal adenomas (TREND-study). BMC Surg 13:4
Zieren J, Paul M, Menenakos C (2007) Transanal endoscopic microsurgery (TEM) vs. radical surgery (RS) in the treatment of rectal cancer: indications, limitations, prospectives. A review. Acta Gastroenterol Belg 70:374–380
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Italia
About this chapter
Cite this chapter
Pescatori, M. (2012). Tumors of the Rectum and Anus. In: Prevention and Treatment of Complications in Proctological Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2077-1_6
Download citation
DOI: https://doi.org/10.1007/978-88-470-2077-1_6
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2076-4
Online ISBN: 978-88-470-2077-1
eBook Packages: MedicineMedicine (R0)