| Theme | Treatment of early rectal cancer -- Local excision vs. endoscopic resection | |
|---|---|---|
| Title | Peranal local excision for early rectal cancer | |
| Publish Date | 2007/07 | |
| Author | Tatsuo Teramoto | Department Surgery (Omori) Toho University |
| Author | Kimihiko Funabashi | Department Surgery (Omori) Toho University |
| Author | Tomohiko Goto | Department Surgery (Omori) Toho University |
| Author | Junichi Koike | Department Surgery (Omori) Toho University |
| [ Summary ] | The details of operative technique and indications of peranal local resection (PAR) for early rectal cancer are described. Using a self retaining Lone Star Retractor, lesions are removed easily with an adequate margin of normal tissue as observed under the direct views. A major advantage of PAR is that the entire lesion is available for pathological examination. This approach is most appropriate for laterally spreading or villous tumors, over 3 cm in size, located within 6 to 8 cm of the anal verge. However, more proximal lesions can be removed with PAR if the tumor can be effectively prolapsed into the operative field. Multifire Endo GIA staplers, designed for laparoscopic surgery, are utilized in PAR. This is attractive because of resultant simplicity and speed. | |