Palliation of carcinoma of the rectum using the urologic resectoscope

Hamy, A.; Tuech, Jean‐Jacques; Pessaux, Patrick; Régenet, Nicolas; Ziani, Mohamed; Bergamaschi, Roberto; Arnaud, Jean‐Pierre

doi:10.1007/s00464-002-9052-y

Cited by 6 publications

(3 citation statements)

References 30 publications

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“…Two larger series of ETAR for rectal cancer palliation have reported similar results in terms of symptomatic relief [8,9]. However, this series demonstrates that conversion to colostomy is not necessarily required in cases of symptom recurrence and that repeat ETAR procedures are a valid alternative approach.…”

Section: Discussionmentioning

confidence: 84%

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Palliative endoscopic trans-anal resection of advanced rectosigmoid carcinoma

2010

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There is no consensus on optimal treatment of patients with rectosigmoid cancer and unresectable metastatic disease. This is a retrospective review of all patients who underwent palliative endoscopic trans-anal resection (ETAR) of rectosigmoid cancer over a 10-year period. Fourteen patients (11 male) with a mean age 69.7 years (range 51-86) underwent ETAR; 11 for rectal tumours and 3 for rectosigmoid tumours. Indications included tenesmus (5), troublesome bleeding (6), mucous discharge (1) and obstructed defaecation (8). The number of treatment episodes varied from 1 to 4 (median 1). The symptom-free interval was mean 6.25 months (range 2-15). Eight patients had lifelong relief of symptoms and four patients are currently symptom free. There were two short-term failures treated with stenting (1) and abdominoperineal resection (1). There were no immediate post-treatment complications. One patient developed increasing incontinence and another pelvic pain after ETAR attributable to local tumour infiltration. ETAR provides a convenient and safe method of palliation for patients with local symptoms of advanced rectosigmoid carcinoma.

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Section: Discussionmentioning

confidence: 84%

“…Indications included tenesmus (6), troublesome bleeding (7), mucous discharge (1) and obstructed defaecation (8). No cases were performed emergently.…”

Section: Patient Characteristicsmentioning

confidence: 99%

Palliative endoscopic trans-anal resection of advanced rectosigmoid carcinoma

2010

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“…This may be performed with a urologic resectoscope or tumor may be removed using cryosurgery [53, 54]. …”

Section: Surgical Palliationmentioning

confidence: 99%

Strategies for Palliative Care in Advanced Colorectal Cancer

Dixon

Stamos²

2004

Dig Surg

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Palliative care has appropriately been receiving increased attention in recent years. From the surgeon’s standpoint, therapy is considered palliative when resection of all known tumor sites is no longer possible or advisable. Since a cure, as commonly defined, is not possible, the goal of treatment and eventually the success of therapy becomes judged by the control of symptoms and alleviation of suffering. Providing optimal palliative care for the patient with advanced colorectal cancer is a complex and challenging process. The process of providing palliative care may be a departure from the traditional surgical satisfaction derived from the complete excision of a malignancy, but surgeons achieving excellence in palliative care will likely find this a rewarding endeavor.

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Endoscopic transanal resection using the urological resectoscope in the management of patients with rectal villous adenomas

Tuech

Pessaux

Régenet

et al. 2004

Int J Colorectal Dis

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Our data suggest that the technique of transanal resection has a limited but valuable place in rectal surgery. ETAR is a simple, minimally invasive, and economical method for treatment of patient with VRA. ETAR should be performed in collaboration with an experienced urological endoscopist. ETAR is a useful addition to the surgeon's armamentarium together with laser destruction and transanal endoscopic microsurgery.

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Palliation of carcinoma of the rectum using the urologic resectoscope

Cited by 6 publications

References 30 publications

Palliative endoscopic trans-anal resection of advanced rectosigmoid carcinoma

Palliative endoscopic trans-anal resection of advanced rectosigmoid carcinoma

Strategies for Palliative Care in Advanced Colorectal Cancer

Endoscopic transanal resection using the urological resectoscope in the management of patients with rectal villous adenomas

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