| Theme | New evolvement in treatment for early rectal cancer | |
|---|---|---|
| Title | Transanal local resection for early rectal cancer | |
| Publish Date | 2017/05 | |
| Author | Kosuke Okamoto | Coloproctology center, Matsushima Hospital |
| Author | Makoto Matsushima | Coloproctology center, Matsushima Hospital |
| Author | Noriko Kosuge | Coloproctology center, Matsushima Hospital |
| Author | Hirotoshi Sugita | Coloproctology center, Matsushima Hospital |
| Author | Remi Katori | Coloproctology center, Matsushima Hospital |
| Author | Youichi Kouno | Coloproctology center, Matsushima Hospital |
| Author | Shingo Hasegawa | Coloproctology center, Matsushima Hospital |
| Author | Yasuhiro Shimojim | Coloproctology center, Matsushima Hospital |
| Author | Joji Kuromizu | Coloproctology center, Matsushima Hospital |
| [ Summary ] | For treatment of neoplastic lesions such as early rectal cancer and adenomas, ESD is performed in many facilities instead of transanal resection. However, it is desirable to produce accurate diagnosis of cancer infiltration and determine the necessity of additional intestinal surgical resection. Incomplete resection rates increase with partial resection. Local recurrence rates also increase. Definite transanal resection should be one treatment option. Securing the most appropriate surgical field becomes an important factor for collective resection and combination surgery. Using this technique and ESD procedures We can more reliably perform operations from the anal side. In addition, if anal diseases such as hemorrhoids coexist, this procedure is an adaptation which can easily manage the risk of bleeding. We must try to prevent anal stenosis related to postoperative complications after resection of the tumor near the anal canal. Regular follow-ups focusing on local recurrence are also important. |
|