Endoscopic transanal resection of rectal adenomas using the urological resectoscope

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
B ModaraiM Stewart

Abstract

Large sessile rectal adenomas are often difficult to excise and several different techniques have been described. This study evaluates the results of adenoma excision by endoscopic transanal resection using the urological resectoscope by a single surgeon in a UK district general hospital. Between January 1989 and November 2004, data on all patients treated by endoscopic transanal resection of benign rectal tumours using a urological resectoscope (ETAR) were prospectively collected and analysed. Forty patients (50% male, median age 72 years) underwent a total of 81 endoscopic transanal resections. The tumour characteristics were: size > 2 cm (83%), location in lower 2/3 of rectum (83%) and extensive circumferential carpet-like appearances (13%). Fifty percent of the patients required only one procedure to achieve clearance. Mean operative time was 26 min (range 10-65 min). Seventy-eight percent of the patients were discharged home within 24 h. Postoperative morbidity was 8% and in-hospital mortality was zero. Histology revealed severe dysplasia in 48% of the tumours and five patients were incidentally found to have foci of rectal adenocarcinoma. With a median follow-up of 47 months (range 2-162 months), local recurrences occurre...Continue Reading

References

May 1, 1992·Gastrointestinal Endoscopy·R M WalshP C Shellito
Feb 1, 1990·The British Journal of Surgery·A R BerryM G Kettlewell
Sep 1, 1973·The British Journal of Surgery·A G Parks, A E Stuart
Sep 1, 1980·The British Journal of Surgery·J Christiansen
Mar 1, 1995·Diseases of the Colon and Rectum·J O KeckM C Veidenheimer
Nov 1, 1993·The British Journal of Surgery·A J DickinsonM G Kettlewell
Jan 12, 2001·Journal of Clinical Gastroenterology·T Ponchon
Aug 8, 2001·Endoscopy·B J RembackenA T Axon
Mar 8, 2002·Annals of Surgery·Christopher D SuttonMichael J Kelly
Jun 26, 2002·The British Journal of Surgery·A LeslieR J C Steele
Oct 8, 2003·Diseases of the Colon and Rectum·François PigotJacques Faivre
Apr 23, 2004·International Journal of Colorectal Disease·Jean-Jacques TuechJean-Pierre Arnaud
Dec 21, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G C BeattieC H Calvert
Jan 25, 2005·Techniques in Coloproctology·A Repici, R Tricerri
Feb 16, 2005·Diseases of the Colon and Rectum·Philippa F MiddletonGuy J Maddern
Mar 11, 2006·Techniques in Coloproctology·M J ForshawM Stewart
Mar 29, 2006·BJU International·Hartwig E SchwaiboldRudolf Hartung
Feb 15, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S ShaikhS K Swami
Apr 5, 2008·The Medical Clinics of North America·David M Poppers, Gregory B Haber

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Citations

Jan 13, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Pierpaolo SileriMarco D' Eletto

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