Transanal surgery in the treatment of rectal tumors
https://doi.org/10.17650/2220-3478-2016-6-1-36-42
Abstract
In last two decades, transanal endoscopic microsurgery (TEM) in treatment of both benign and malignant tumor of rectum is actively developing. The aim of this review was to describe the current status of transanal interventions. Due to the low level of recurrens (mean about 6 %) TEM has become the method of choice for removal of rectal adenomas. Several studies have demonstrated the benefits of treatment TEM in cases of early T1 cancer compared to conventional resection. However, for more invasive adenocarcinomas performing TEM remains controversial, but it’s very promising method for the complex treatment. Just as transanal mesorectal exision in treatment of mid- and low rectal cancer as a new strategy – natural orifice transluminal surgery. However, it lack of evidence base and international experience in small series presented, so large randomized trials is needed.
About the Authors
P. V. Mel’nikov
Moscow Regional Oncologic Dispensary
Russian Federation
6 Karbysheva St., Balashikha, Moscow region, 143900
Russian Federation
6 Karbysheva St., Balashikha, Moscow region, 143900
S. V. Savenkov
Moscow Regional Oncologic Dispensary
Russian Federation
6 Karbysheva St., Balashikha, Moscow region, 143900
Russian Federation
6 Karbysheva St., Balashikha, Moscow region, 143900
D. Yu. Kanner
City Clinical Hospital No 62, Moscow Healthcare Department
Russian Federation
27 Istra Settlement, p/o Stepanovskoe, Krasnogorsk district, Moscow region, 143423
Russian Federation
27 Istra Settlement, p/o Stepanovskoe, Krasnogorsk district, Moscow region, 143423
D. V. Eres’ko
Moscow Regional Oncologic Dispensary
Russian Federation
6 Karbysheva St., Balashikha, Moscow region, 143900
Russian Federation
6 Karbysheva St., Balashikha, Moscow region, 143900
R. I. Tamrazov
N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia
Russian Federation
24 Kashirskoe Shosse, Moscow, 115478
Russian Federation
24 Kashirskoe Shosse, Moscow, 115478
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