7
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Local excision for early rectal cancer: transanal endoscopic microsurgery and beyond.

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The goal of treatment for early stage rectal cancer is to optimize oncologic control while minimizing the long-term impact of treatment on quality of life. The standard of care treatment for most stage I and II rectal cancers is radical surgery alone, specifically total mesorectal excision (TME). For early rectal cancers, this procedure is usually curative but can have a substantial impact on quality of life, including the possibility of permanent colostomy and the potential for short and long-term bowel, bladder, and sexual dysfunction. Given the morbidity associated with radical surgery, alternative approaches to management of early rectal cancer have been explored, including local excision (LE) via transanal excision (TAE) or transanal endoscopic microsurgery (TEM) and transanal minimally invasive surgery (TAMIS). Compared to the gold standard of radical surgery, local procedures for strictly selected early rectal cancers should lead to identical oncological results and even better outcomes regarding morbidity, mortality, and quality of life.

          Related collections

          Author and article information

          Journal
          J Gastrointest Oncol
          Journal of gastrointestinal oncology
          2078-6891
          2078-6891
          Jun 2015
          : 6
          : 3
          Affiliations
          [1 ] Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
          Article
          jgo-06-03-296
          10.3978/j.issn.2078-6891.2015.022
          4397248
          26029457
          31e8eaf6-365e-4876-9017-df59d13eda2e
          History

          Rectal cancer,local excision (LE),transanal endoscopic microsurgery (TEM),transanal excision (TAE),transanal minimally invasive surgery (TAMIS)

          Comments

          Comment on this article