Rectal adenocarcinoma and transanal endoscopic microsurgery. Diagnostic challenges, indications and short term results in 142 consecutive patients

Baatrup, Gunnar; Elbrønd, H.; P, Hesselfeldt; Wille‐Jørgensen, Peer; Möller, Peter; Breum, Birger Michael; Qvist, Niels

doi:10.1007/s00384-007-0358-z

Cited by 27 publications

(18 citation statements)

References 12 publications

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“…This study of 68 consecutive patients by Waage et al found sensitivity of ERUS with elastography of 93 %, specificity 95 % and accuracy: 94 % for detecting malignant lesions using a strain ratio cut-off of 1.25. This examination may prove to be very useful for the selection of patients to transanal microsurgery as an alternative to the standard total mesorectal excision (TME) (Worrell et al 2004;Baatrup et al 2007). For the lymph node evaluation there is still little data, but we have seen some cases were MRI indicated preoperative radiation therapy (N1), while ERUS with elastography correctly staged the patient as N0.…”

Section: Evaluation Of Rectal Tumoursmentioning

confidence: 99%

Imaging of Tissue Elasticity in Gastrointestinal Disorders

Havre

Gilja

2013

Ultrasound of the Gastrointestinal Tract

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Section: Evaluation Of Rectal Tumoursmentioning

confidence: 99%

Imaging of Tissue Elasticity in Gastrointestinal Disorders

Havre

Gilja

2013

Ultrasound of the Gastrointestinal Tract

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“…With TEM technique, a full-thickness en bloc excision is possible in the entire rectum, which may be technically difficult by other local procedures such as transanal excision (TAE). TEM has proven to be a safe and effective procedure in removal of rectal lesions [2][3][4][5][6][7][8][9] . TEM has furthermore considerably lower morbidity and mortality compared with conventional radical rectal resection for rectal tumors [10][11][12][13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

“…Preoperative staging with endoscopic rectal ultrasound (ERUS) and magnetic resonance imaging (MRI) of rectal lesions aid in decision making of selection for local treatment or radical resection. However, understaging is not uncommon [9,[21][22][23][24][25] . Furthermore, unexpected malignancy is reported in 18%-43% of preoperatively assumed benign lesions in the rectum [9,[26][27][28] .…”

Section: Introductionmentioning

confidence: 99%

Completion proctectomy following transanal endoscopic microsurgery for early rectal cancer

Levic-Souzani¹,

Bulut²

2018

MIS

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Transanal endoscopic microsurgery (TEM) has proven to be a safe and effective procedure in removal of rectal lesions and may be used in treatment of early rectal cancer in selected patients. In cases when the TEM specimen shows non-radical resection, or histological high-risk factors, completion proctectomy (CP) is warranted. It is debated when it is the best time to perform CP following TEM. It is furthermore uncertain whether CP leads to an increased risk of abdominoperineal excision. Herein, we review the available literature regarding controversial issues with early completion proctectomy following TEM.

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“…[10][11][12][13][14][15][16][17] Transanal endoscopic ultrasound (TAUS) and magnetic resonance imaging (MRI) are routinely applied for rectal and anal cancer. [18][19][20][21][22][23] In TAUS, a 7-10-MHz rotating ultrasound transducer is rectally inserted. The examiner obtains a real-time axial image that is two-or threedimensional, depending on the device.…”

Section: Introductionmentioning

confidence: 99%