Abstract
We haye described a technique used in ten patients for local control of rectal carcinomas. Transrectal resection of rectal tumors using the urologic endoscopic resectoscope is a technique that allows controlled, safe removal of tumors of the rectum under excellent optical conditions. This technique has been performed safely in elderly and extremely poor-risk patients with minimal complications and side effects. We suggest that this technique offers a reasonable alternative to fulguration in patients with rectal carcinomas who either refuse abdominoperineal resection or who, because of metastatic disease or infirmity, are not considered candidates for the more conventional approach.
Similar content being viewed by others
References
Madden JL, Kandalaft S. Electrocoagulation in the treatment of cancer of the rectum. Ann Surg 1971;174:530–40.
Madden JL, Kandalaft S. Clinical evaluation of electrocoagulation in the treatment of cancer of the rectum. Am J Surg 1971;122:347–52.
Crile G, Turnbull RB. The role of electrocoagulation in the treatment of carcinoma of the rectum. Surg Gynecol Obstet 1972;135:391–6.
Turnbull RB. Carcinoma of the rectum: nonresective treatment. Dis Colon Rectum 1974;17:588–90.
Salvati EP, Ruben RJ. Electrocoagulation as primary therapy for rectal carcinoma. Am J Surg 1976;132:583–6.
Hughes EP, Veidenheimer MC, Corman ML, Coller JA. Electrocoagulation of rectal cancer. Dis Colon Rectum 1982;25:215–8.
Eisenstat TE, Deak ST, Ruben RJ, Salvati EP, Greco RS. Five year survival in patients with carcinoma of the rectum treated by electrocoagulation. Am J Surg 1982;143:127–32.
Tonak J, Gall FP, Hermanek P, Hager TH. Incidence of local recurrence after curative operations for cancer of the rectum. Aust NZ J Surg 1982;52:23–7.
Hager T, Gall FP, Hermanek P. Local excision of cancer of the rectum. Dis Colon Rectum 1983;26:149–51.
Gingold BS. Electrocoagulation for the management of rectal cancer in elderly patients. Geriatric Medicine Today 1983;2:55–60.
Nesbit RM. Transurethral prostatectomy. Springfield: Charles C. Thomas, 1943.
Busuttel RW, Foglia RP, Longmire WP. Treatment of carcinoma of the sigmoid colon and upper rectum. Arch Surg 1977;112:920–3.
Enker WE, Laffer UT, Block GE. Enhanced survival of patients with colon and rectal cancer is based upon wide anatomic resection. Ann Surg 1979;190:350–60.
Zinken LD, Katy LD, Rosen JD. A method of palliation for obstructive carcinoma of the rectum. Surg Gynecol Obstet 1979;148:427–8.
Author information
Authors and Affiliations
About this article
Cite this article
Weese, J.L., Bruskewitz, R.C. Endoscopic transrectal resection of rectal carcinomas using the urologic resectoscope. Dis Colon Rectum 27, 123–125 (1984). https://doi.org/10.1007/BF02553993
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02553993