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Gasless, video endoscopic transanal excision for carcinoid and laterally spreading tumors of the rectum

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Abstract

Background: The aim of this study is to determine whether gasless, video endoscopic transanal–rectal tumor excision (gasless VTEM) is a valid treatment for rectal carcinoid and laterally spreading tumors (LST). Methods: Eighty-four patients with an adenoma, adenocarcinoma (Tis/T1), or carcinoid tumor of the rectum were divided into three groups: (i) LST (n = 17 patients), (ii) carcinoid (n = 11), and (iii) control with other types of tumors (n = 56). Results: The LST group had a longer median operating time than in the control group, whereas the carcinoid group had a shorter operating time. Two patients (11.7%) in LST group developed peritoneal entry during the operation, while 2 patients (3.6%) in the control group experienced postoperative complications. During a median follow-up length of 55.2 months, one patient in the LST group developed a recurrence. Conclusions: Gasless VTEM is a simple, minimally invasive procedure used to treat LST and carcinoid tumors of the rectum. However, resection for the LST group had a high risk of peritoneal entry during operation.

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Authors and Affiliations

  1. First Department of Surgery, Nagasaki University School of Medicine, Nagasaki, Japan

    T. Nakagoe, T. Sawai, T. Tsuji, M. Jibiki, A. Nanashima, H. Yamaguchi & T. Yasutake

  2. Department of Surgery, Sasebo Municipal General Hospital, Nagasaki, Japan

    H. Ishikawa

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  1. T. Nakagoe
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Correspondence to T. Nakagoe.

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Nakagoe, T., Ishikawa, H., Sawai, T. et al. Gasless, video endoscopic transanal excision for carcinoid and laterally spreading tumors of the rectum . Surg Endosc 17, 1298–1304 (2003). https://doi.org/10.1007/s00464-002-8580-9

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  • DOI: https://doi.org/10.1007/s00464-002-8580-9

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