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Transanal endoscopic microsurgery for giant benign rectal tumours: is large size a contraindication?

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this study is to look at our early postoperative results, recurrence rates and need for further radical surgery in treating large (> 5 cm) rectal tumours by transanal endoscopic microsurgery (TEM).

Methods

Patients who underwent TEM for rectal tumours greater than 5 cm were included. Tumour diameter was determined based on fresh specimen measurements. We recorded the demographics, operative details, final pathology, length of hospital stay, complications and recurrence rates.

Results

Mean tumour size was 5.9 ± 1.5 cm. 68.4% of tumours (13/19) were in the middle part of the rectum. Three patients (15.8%) developed postoperative complications: two had postoperative bleeding (10.5%), one had wound dehiscence (5.3%). Three patients had involved margins (15.8%). After a median follow up of 25.2 months, there were two recurrences (10.5%). One patient developed rectal cancer 6 years after removal of rectal adenoma.

Conclusion

TEM is feasible and safe for the treatment of giant benign rectal tumours. It may be an alternative method for proctectomy in selected patients.

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Author information

Authors and Affiliations

  1. Department of General and Abdominal Surgery and Oncology, National Cancer Institute, 1 Santariskiu Str, LT-08406, Vilnius, Lithuania

    Audrius Dulskas, Alfredas Kilius, Kestutis Petrulis & Narimantas E. Samalavicius

  2. Departament of Surgical oncology, National Cancer Institute, Vilnius University, Clinic of Internal, Family Medicine and Oncology, Faculty of Medicine, Vilnius, Lithuania

    Narimantas E. Samalavicius

Authors
  1. Audrius Dulskas
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  2. Alfredas Kilius
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  3. Kestutis Petrulis
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  4. Narimantas E. Samalavicius
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Corresponding author

Correspondence to Audrius Dulskas.

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Dulskas, A., Kilius, A., Petrulis, K. et al. Transanal endoscopic microsurgery for giant benign rectal tumours: is large size a contraindication?. Int J Colorectal Dis 32, 1759–1761 (2017). https://doi.org/10.1007/s00384-017-2910-9

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  • DOI: https://doi.org/10.1007/s00384-017-2910-9

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