Transanal endoscopic microsurgery: local recurrence rate following resection of rectal cancer

Whitehouse, Pauline; Armitage, James; Tilney, H. S.; Simson, J. N. L.

doi:10.1111/j.1463-1318.2007.01291.x

Cited by 29 publications

(14 citation statements)

References 41 publications

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“…Transanal endoscopic microsurgery has already been shown to be effective treatment for selected benign or malignant rectal lesions [5–8]. In this series of 262 TEMS procedures, the mortality of 0.8% was within the range of 0–2% reported in the literature [4,7–9].…”

Section: Discussionmentioning

confidence: 70%

Complications of transanal endoscopic microsurgery (TEMS): a prospective audit

et al. 2010

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Section: Discussionmentioning

confidence: 70%

Complications of transanal endoscopic microsurgery (TEMS): a prospective audit

et al. 2010

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“…Of these 12 patients, 1 had recurrence, whereas 5 of the 24 patients who did not undergo salvage surgery had recurrence, yielding an overall recurrence rate of 16.7%. Other studies report higher recurrence rates after TEM for rectal cancer, such as Whitehouse et al, 26 who found a 26% recurrence rate in 23 patients with pT1 tumors, possibly owing to the small number of patients. A recent study published by Doornebosch et al 4 reported a local recurrence rate of 20.5% in 88 patients who underwent TEM for pT1 rectal cancer, with an overall survival of 31% at a 3-year follow-up.…”

Section: Discussionmentioning

confidence: 97%

Management and Outcome of Local Recurrence Following Transanal Endoscopic Microsurgery for Rectal Cancer

Stipa¹,

Giaccaglia²,

Burza³

2012

Diseases of the Colon &Amp; Rectum

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The outcome after transanal excision for rectal cancer depends on close surveillance for early detection of recurrence. In patients able to undergo surgery, endoluminal or pelvic recurrence should be treated with an immediate radical salvage operation. Overall long-term survival after local excision with transanal endoscopic microsurgery followed by radical salvage surgery in cases of local recurrence is comparable to overall survival after initial radical surgery.

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“…[66][67][68][69] on this basis, the previous asCRs parameter and guidelines from multiple societies included proctoscopy every 6 months. 9 however, the rate of identification of anastomotic recurrence at surveillance endoscopy has been only ~2%, 11,12 and no improvement in overall survival was demonstrated in earlier randomized studies.…”

Section: Surveillance Colonoscopy Is Recommended At 1 Year Af-mentioning

confidence: 99%

Practice Guideline for the Surveillance of Patients After Curative Treatment of Colon and Rectal Cancer

Steele

Chang

Hendren³

et al. 2015

Diseases of the Colon &Amp; Rectum

174

123

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Current evidence suggests improved rates of curative secondary treatment following identification of recurrence among patients who participate in a surveillance program after initial curative resection of colon or rectal cancer. The newer data show that surveillance CEA, chest and liver imaging,and colonoscopy can also improve survival through early diagnosis of recurrence; thus, these modalities are now included in the current guideline. Although the optimum strategy of surveillance for office visits, CEA, chest and liver imaging, and colonoscopy is not yet defined, routine surveillance does improve the detection of recurrence that can be resected with curative intent. Recommended surveillance schedules are shown in Table 4. However, the factors to be considered when recommending surveillance include underlying risk for recurrence, patient comorbidity, and the ability to tolerate major surgery to resect recurrent disease or palliative chemotherapy, performance status, physiologic age, preference, and compliance. The success of surveillance for early detection of curable recurrence will depend on patient and provider involvement to adhere to the surveillance schedule and avoid unnecessary examination. It should be noted that, after curative resection of colorectal cancer, patients are still at risk for other common malignancies(lung, breast, cervix, prostate) for which standard screening recommendations should be observed and measures to maintain general health (risk reduction for cardiovascular disease, eg, cessation of smoking, control of blood pressure and diabetes mellitus, balanced diet, regular exercise and sleep, and flu vaccines) should be recommended.

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Transanal endoscopic microsurgery: local recurrence rate following resection of rectal cancer

Cited by 29 publications

References 41 publications

Complications of transanal endoscopic microsurgery (TEMS): a prospective audit

Complications of transanal endoscopic microsurgery (TEMS): a prospective audit

Management and Outcome of Local Recurrence Following Transanal Endoscopic Microsurgery for Rectal Cancer

Practice Guideline for the Surveillance of Patients After Curative Treatment of Colon and Rectal Cancer

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