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May 2, 2011, 11:18:44 AM5/2/11

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Nueva Bibliografía del TEM
Sent on Sunday, 2011 May 01
Search "Rectum"[Mesh] OR "Rectal Neoplasms"[Mesh] AND "Microsurgery"[Mesh]
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PubMed Results
Items 1 - 3 of 3

1. World J Surg Oncol. 2010 Nov 25;8:105.
Synchronous colorectal neoplasias: our experience about laparoscopic-TEM combined treatment.
Spizzirri A, Coccetta M, Cirocchi R, La Mura F, Napolitano V, Bravetti M, Giuliani D, De Sol A, Pressi E, Trastulli S, Di Patrizi MS, Avenia N, Sciannameo F.
Source
General Surgery Department, St, Maria Hospital, Terni (TR), University of Perugia, Italy. alessandr...@libero.it
Abstract
Synchronous colorectal neoplasias are defined as 2 or more primary tumors identified in the same patient and at the same time. The most voluminous synchronous cancer is called "first primitive" or "index" cancer. The aim of this work is to describe our experience of minimally invasive approach in patients with synchronous colorectal neoplasias.Since January 2001 till December 2009, 557 patients underwent colectomy for colorectal cancer at the Department of General and Emergency Surgery of the University of Perugia; 128 were right colon cancers, 195 were left colon cancers while 234 patients were affected by rectal cancers. We performed 224 laparoscopic colectomies (112 right, 67 left colectomies and 45 anterior resections of rectum), 91 Transanal Endoscopic Microsurgical Excisions (TEM) and 53 Trans Anal Excisions (TAE). In the same observation period 6 patients, 4 males and 2 females, were diagnosed with synchronous colorectal neoplasias. Minimal invasive treatment of colorectal cancer offers the opportunity to treat two different neoplastic lesions at the same time, with a shorter post-operative hospitalization and minor complications. According to our experience, laparoscopy and TEM may ease the treatment of synchronous diseases with a lower morbidity rate.
Free Article
PMID:

21108835
[PubMed - indexed for MEDLINE]
Related citations

2. Tech Coloproctol. 2010 Nov;14 Suppl 1:S33-4.
Treatment of early rectal cancer.
Kesisoglou I, Sapalidis K.
Source
Third Surgical Department, Aristotle University, AHEPA University Hospital, 3, Artemidos Street, 57010 Pefka, Thessaloniki, Greece. ike...@hotmail.com
Abstract
The treatment of rectal cancer has undergone a tremendous surgical evolution over the past century. In the past three decades, transanal excision has emerged as a popular treatment option for T1 and selected T2 rectal adenocarcinomas, allowing less morbidity for early cancers. The surgical options offered to the patient are the Parks' per anal excision and the transanal endoscopic microsurgery (TEM).
PMID:

20811921
[PubMed - indexed for MEDLINE]
Related citations

3. World J Surg. 2010 Jul;34(7):1604-8.
Functional and clinical results of transanal endoscopic microsurgery combined with endoscopic posterior meso rectum resection for the treatment of patients with t1 rectal cancer.
Walega P, Kenig J, Richter P, Nowak W.
Source
3rd Department of General Surgery, Jagiellonian University School of Medicine, Pradnicka 35-37, 31-202, Krakow, Poland.
Abstract
BACKGROUND:
Rectum-sparing transanal endoscopic microsurgery (TEM) is a well-established treatment for T1 carcinomas of the rectum. However, it is associated with an increased rate of local recurrence compared with extended resection. In most cases, this failure is linked to the presence of clinically nondetectable metastases in the regional lymph nodes. Endoscopic posterior mesorectal resection (EPMR) makes it possible to remove the relevant lymphatic drainage of the lower third of the rectum in the minimally invasive way, which can help with adequate tumor staging. The study evaluated the influence of combined TEM and EPMR treatment on the anorectal functions of this group of patients.
METHODS:
Six consecutive patients (3 women and 3 men; mean age, 71.3 years) with T1 cancer of the rectum were operated on using TEM in combination with EPMR as a two-stage procedure between 2007 and 2009.
RESULTS:
After a median follow-up of 19 (range, 8-30) months, none of our patients complained of symptoms of incontinence during the postoperative period apart from one woman with gas incontinence, who was diagnosed preoperatively. There was no statistically significant difference in BAP, SAP, HPZL, or in fecal continence control assessed using the Fecal Incontinence Severity Index before and 1, 3, and 6 months after the procedure. We observed one case of intraoperative complication (perforation) and one case of minor postoperative complication (hematoma formation). There was no evidence of locoregional recurrence.
CONCLUSIONS:
EPMR in combination with TEM seems to be safe, feasible, and with no impact on the basic anorectal functions.
PMID:

20174804
[PubMed - indexed for MEDLINE]
Related citations

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1.	World J Surg Oncol. 2010 Nov 25;8:105. Synchronous colorectal neoplasias: our experience about laparoscopic-TEM combined treatment. Spizzirri A, Coccetta M, Cirocchi R, La Mura F, Napolitano V, Bravetti M, Giuliani D, De Sol A, Pressi E, Trastulli S, Di Patrizi MS, Avenia N, Sciannameo F. Source General Surgery Department, St, Maria Hospital, Terni (TR), University of Perugia, Italy. alessandr...@libero.it Abstract Synchronous colorectal neoplasias are defined as 2 or more primary tumors identified in the same patient and at the same time. The most voluminous synchronous cancer is called "first primitive" or "index" cancer. The aim of this work is to describe our experience of minimally invasive approach in patients with synchronous colorectal neoplasias.Since January 2001 till December 2009, 557 patients underwent colectomy for colorectal cancer at the Department of General and Emergency Surgery of the University of Perugia; 128 were right colon cancers, 195 were left colon cancers while 234 patients were affected by rectal cancers. We performed 224 laparoscopic colectomies (112 right, 67 left colectomies and 45 anterior resections of rectum), 91 Transanal Endoscopic Microsurgical Excisions (TEM) and 53 Trans Anal Excisions (TAE). In the same observation period 6 patients, 4 males and 2 females, were diagnosed with synchronous colorectal neoplasias. Minimal invasive treatment of colorectal cancer offers the opportunity to treat two different neoplastic lesions at the same time, with a shorter post-operative hospitalization and minor complications. According to our experience, laparoscopy and TEM may ease the treatment of synchronous diseases with a lower morbidity rate. Free Article
	PMID: 21108835 [PubMed - indexed for MEDLINE]
	Related citations

2.	Tech Coloproctol. 2010 Nov;14 Suppl 1:S33-4. Treatment of early rectal cancer. Kesisoglou I, Sapalidis K. Source Third Surgical Department, Aristotle University, AHEPA University Hospital, 3, Artemidos Street, 57010 Pefka, Thessaloniki, Greece. ike...@hotmail.com Abstract The treatment of rectal cancer has undergone a tremendous surgical evolution over the past century. In the past three decades, transanal excision has emerged as a popular treatment option for T1 and selected T2 rectal adenocarcinomas, allowing less morbidity for early cancers. The surgical options offered to the patient are the Parks' per anal excision and the transanal endoscopic microsurgery (TEM).
	PMID: 20811921 [PubMed - indexed for MEDLINE]
	Related citations

3.	World J Surg. 2010 Jul;34(7):1604-8. Functional and clinical results of transanal endoscopic microsurgery combined with endoscopic posterior meso rectum resection for the treatment of patients with t1 rectal cancer. Walega P, Kenig J, Richter P, Nowak W. Source 3rd Department of General Surgery, Jagiellonian University School of Medicine, Pradnicka 35-37, 31-202, Krakow, Poland. Abstract BACKGROUND: Rectum-sparing transanal endoscopic microsurgery (TEM) is a well-established treatment for T1 carcinomas of the rectum. However, it is associated with an increased rate of local recurrence compared with extended resection. In most cases, this failure is linked to the presence of clinically nondetectable metastases in the regional lymph nodes. Endoscopic posterior mesorectal resection (EPMR) makes it possible to remove the relevant lymphatic drainage of the lower third of the rectum in the minimally invasive way, which can help with adequate tumor staging. The study evaluated the influence of combined TEM and EPMR treatment on the anorectal functions of this group of patients. METHODS: Six consecutive patients (3 women and 3 men; mean age, 71.3 years) with T1 cancer of the rectum were operated on using TEM in combination with EPMR as a two-stage procedure between 2007 and 2009. RESULTS: After a median follow-up of 19 (range, 8-30) months, none of our patients complained of symptoms of incontinence during the postoperative period apart from one woman with gas incontinence, who was diagnosed preoperatively. There was no statistically significant difference in BAP, SAP, HPZL, or in fecal continence control assessed using the Fecal Incontinence Severity Index before and 1, 3, and 6 months after the procedure. We observed one case of intraoperative complication (perforation) and one case of minor postoperative complication (hematoma formation). There was no evidence of locoregional recurrence. CONCLUSIONS: EPMR in combination with TEM seems to be safe, feasible, and with no impact on the basic anorectal functions.
	PMID: 20174804 [PubMed - indexed for MEDLINE]
	Related citations