Qualidade de vida do paciente submetido à Microcirurgia Endoscópica Transanal (TEM)

Moraes, Roberto da Silveira; Zanchet, Marcos Vinícius; Sobottka, Wagner Herbert; Lima, João Henrique Felício de; Morgenstern, Glauco Afonso; Malafaia, Osvaldo; Bueß, G.; Coelho, Júlio Cézar Uili

doi:10.1590/s0102-67202007000100007

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…The negative were related to pain, fear of the possibility of radical surgery and discomfort in the various examinations and preoperative bowel preparation. All reported that they were fully informed about the nature of the procedure and indicate a friend or family member, even those who had complications such as rectovaginal fistula, temporary bypass and relapse 25 . The concepts of radiation have been changed in recent years with the expansion of the total dose to 45-50 Gy and combination with chemotherapy, which would add the benefit of a synergistic action in order to control any residual tumor after surgery.…”

Section: Morbiditymentioning

confidence: 99%

“…Began to be practiced since 1982 in Germany and, currently, is used in major centers. Its introduction in Brazil was due to the first author of this paper in 2002 at the Department of Digestive Surgery, Hospital de Clínicas, Federal University of Paraná in Curitiba, Brazil 20,21,22,23,24,25 . This paper presents the results of a non-random prospective series of patients with early rectal cancer treated by transanal endoscopic microsurgery.…”

Section: Introductionmentioning

confidence: 99%

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Microcirurgia endoscópica transanal e tratamento adjuvante no câncer retal precoce

Moraes¹,

Losso²,

Matias³

et al. 2011

ABCD, arq. bras. cir. dig.

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-Background -The total mesorectal excision is considered the standard operation in the treatment of rectal tumors, although there is no scientific proof that it should be used for all stages of the disease. It has been demonstrated that in selected cases of rectal tumors, promising results can be achieved with local treatment by transanal endoscopic microsurgery. These tumors, called early rectal cancer, T1 tumors, are less than 4 cm, well differentiated without angiolymphatic invasion -pT1 SM1. As the risk of lymph node involvement in these tumors is approximately 3%, local resection would have a great chance to be curative. Aim -To present the results of a nonrandom prospective series of patients with early rectal cancer treated by transanal endoscopic microsurgery. Methods -Between 2002 and 2010, 38 patients evaluated by preoperative protocol as patients with early rectal cancer underwent endoscopic microsurgical resection of the entire rectal wall including the tumor when located between 2 and 8 cm from the dentate line. The preoperative evaluation consisted of digital rectal examination, rigid sigmoidoscopy macrobiopsies, barium enema and/or colonoscopy, endorectal ultrasound and abdominal computed tomography of the abdomen, chest radiography and serum CEA. Was conducted follow-up with endoscopy and endorectal ultrasound every three months during the first two years, and every six in the next three years, and CEA every six months during the same period of five years. Was evaluated the tumor recurrence, morbidity and mortality. Results -Pathologic evaluation considered 29 categorized as low risk and nine being high. The follow-up in the series ranged from one to seven years. Tumor recurrence was confirmed in two of the 38 cases (5.26%), in one the lesion was considered high and another low risk. Conclusion -Transanal endoscopic microsurgery associated or not to adjuvant therapy, may be, currently, considered the gold standard in local rectal resection, with encouraging results in cases chosen with early rectal tumors at low risk. ABCDDV/774RESUMO -Racional -A excisão total do mesorreto é considerada a operação padrão no tratamento dos tumores do reto, apesar de não existir comprovação científica de que ela deva ser usada para todos os estádios da doença. Tem sido demonstrado que em casos escolhidos de tumores retais, resultados promissores podem ser conseguidos com tratamento local por microcirurgia endoscópica transanal. Tais tumores, denominados de câncer retal precoce, são tumores T1 -menores do que 4 cm -, bem diferenciados sem invasão angiolinfática pT1 Sm1. Como o risco de comprometimento linfonodal nesses tumores é de aproximadamente 3%, a ressecção local teria grande chance de ser curativa. Objetivo -Apresentar os resultados de uma série prospectiva não randômica de pacientes portadores de câncer retal precoce submetidos ao tratamento local por microcirurgia endoscópica transanal. Métodos -Entre 2002 e 2010, 38 pacientes avaliados por protocolo pré-operatório como portadores câncer retal pre...

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Section: Morbiditymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Microcirurgia endoscópica transanal e tratamento adjuvante no câncer retal precoce

Moraes¹,

Losso²,

Matias³

et al. 2011

ABCD, arq. bras. cir. dig.

Self Cite

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Transanal minimally invasive surgery for total mesorectal excision (ETM) through transanal approach (TaETM) with robotic and Transanal Endoscopic Operations (TEO) combined access: step by step surgery

Mendes

Valadão

Araujo

et al. 2015

ABCD, arq. bras. cir. dig.

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RationalIn the treatment of colorectal cancer, from 1982 Heald proposed standardization of the total mesorectal excision, with a significant reduction in the recurrence rate. But the treatment of lower rectal lesions is still a challenge.AimTo describe the association of robotic low anterior resection- TATA (Transanal Abdominal Transanal Resection), with transanal access using Transanal Endoscopic Operations - TEO in the treatment of lower rectal cancer.MethodThe TATA performs robotic abdominal approach and the TEO performs the perineal approach, developing total mesorectal excision (TME) transanally (TaETM).ResultThe TaETM technique was applied in a woman with rectal adenocarcinoma 5 cm from the anal verge that had been submitted to chemoradiation. The procedure was performed with satisfatory operative time and favorable oncological outcome (grade 3 mesorectal excision).ConclusionThis is a promising minimally invasive procedure in the armamentarium of rectal cancer treatment, specially in challenging scenarios such as narrow pelvis, obesity and very low rectal tumors.

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Qualidade de vida do paciente submetido à Microcirurgia Endoscópica Transanal (TEM)

Cited by 2 publications

References 9 publications

Microcirurgia endoscópica transanal e tratamento adjuvante no câncer retal precoce

Microcirurgia endoscópica transanal e tratamento adjuvante no câncer retal precoce

Transanal minimally invasive surgery for total mesorectal excision (ETM) through transanal approach (TaETM) with robotic and Transanal Endoscopic Operations (TEO) combined access: step by step surgery

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