Standard transanal excision of the rectal polyps is curative and is less invasive than transsacral resection or low anterior resction, but it is difficult to resect tumors that are distant from the anal verge. Moreover, in the case of large polyps, the risks of complications, such as hemorrhage or perforation, increase because exposure on the oral side of the tumor is poor. If exposure can be improved, transanal excision can be performed safely and completely when the polyp is large and distant from the anal verge. We used transsacral manual assistance to achieve transanal resection of a large tubulovillous adenoma of the rectum that was hard to be resected using the traditional transanal approach.
Similar content being viewed by others
REFERENCES
GB Winburn (1998) ArticleTitleSurgical resection of villous adenomas of the rectum Am Surg 64 1170–3 Occurrence Handle1:STN:280:DyaK1M%2FlslCksA%3D%3D Occurrence Handle9843338
SC Nahas AR Imperiale SE Araujo et al. (1998) ArticleTitleVillous and tubulovillous adenomas of the colon and rectum. Results in 30 patients Rev Hosp Clin Fac Med Sao Paulo 53 162–8 Occurrence Handle1:STN:280:DyaK1M7itFanug%3D%3D Occurrence Handle9922493
Y Ishizaki Y Takeda T Miyahara T Tokutome (1999) ArticleTitleEvaluation of local excision for sessile-type lower rectal tumors Hepatogastroenterology 46 2329–32 Occurrence Handle1:STN:280:DyaK1MvltFCltw%3D%3D Occurrence Handle10521991
S Nivatvongs JD Nicholson DA Rothenberger et al. (1980) ArticleTitleVillous adenomas of the rectum: the accuracy of clinical assessment Surgery 87 549–51 Occurrence Handle1:STN:280:Bi%2BC28bkslA%3D Occurrence Handle7368104
P Hermanek (1992) ArticleTitleDysplasie-karzinom-sequenz im kolorektum Zentralbl Chir 117 476–82 Occurrence Handle1:STN:280:ByyD2s%2FmsFI%3D Occurrence Handle1441785
A Arnaud IR Fretes A Joly JC Sarles (1991) ArticleTitlePosterior approach to the rectum for treatment of selected benign lesions Int J Colorectal Dis 6 100–2 Occurrence Handle1:STN:280:By6A2c7jsVM%3D Occurrence Handle1875116
AY Mason (1970) ArticleTitleSurgical access to the rectum. A transsphincteric exposure J R Soc Med 63 91–4
FJ Criado TH Wilson SuffixJr (1981) ArticleTitlePosterior transsphincteric approach for surgery of the rectum: the Bevan operation Dis Colon Rectum 24 145–50 Occurrence Handle1:STN:280:Bi6C1cfitVQ%3D Occurrence Handle7014150
Author information
Authors and Affiliations
About this article
Cite this article
Otsuji, E., Fujiyama, J., Takagi, T. et al. Transanal Excision of a Large Rectal Polyp Assisted by Transsacral Manipulation of the Rectum. Dis Colon Rectum 47, 1420–1422 (2004). https://doi.org/10.1007/s10350-004-0581-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10350-004-0581-4