Transanal endoscopic microsurgery for rectal carcinoids: the largest reported United States experience.

MedStar author(s):
Citation: Colorectal Disease. 14(5):562-6, 2012 May.PMID: 21831099Institution: MedStar Washington Hospital CenterDepartment: Surgery/Colorectal SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Carcinoid Tumor/pa [Pathology] | *Carcinoid Tumor/su [Surgery] | *Microsurgery | *Rectal Neoplasms/pa [Pathology] | *Rectal Neoplasms/su [Surgery] | Adult | Aged | Aged, 80 and over | Anal Canal | Endoscopy, Gastrointestinal | Female | Follow-Up Studies | Humans | Male | Middle Aged | Neoplasm, Residual | Retrospective Studies | Treatment Outcome | United StatesISSN:
  • 1462-8910
Name of journal: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and IrelandAbstract: AIM: Rectal carcinoids are often inadequately resected by snare excision during colonoscopy. Transanal endoscopic microsurgery is a minimally invasive procedure with low morbidity that offers full-thickness excision with a low rate of negative margins. It presents an excellent alternative to radical surgery for mid and proximally located lesions. We report the largest United States (US) experience in the use of transanal endoscopic microsurgery for rectal carcinoids.CONCLUSION: Transanal endoscopic microsurgery is effective and safe for the surgical resection of rectal carcinoids<2 cm in diameter, with typical features and located more than 5 cm from the anal verge. Transanal endoscopic microsurgery can be used for primary resection or for resection after incomplete colonoscopic snare excision. 2011 The Authors. Colorectal Disease 2011 The Association of Coloproctology of Great Britain and Ireland.METHOD: Data of patients who had undergone transanal endoscopic microsurgery for rectal carcinoids were prospectively collected and retrospectively analyzed. Patient and tumour characteristics, operative and perioperative details, as well as oncological outcomes were reviewed.RESULTS: Over a 12-year period, 24 patients underwent transanal endoscopic microsurgery for rectal carcinoids. Of these, six (25%) were primary surgical resections and 18 (75%) were performed after incomplete snare excisions during colonoscopy. Three (17%) patients who underwent full-thickness resection after snare excision had residual tumour on histopathological examination. Negative margins were obtained in all cases. No recurrences were noted.All authors: Ayscue JM, Fitzgerald JF, Kolli K, Kumar AS, Sidani SM, Smith LE, Stahl TJDigital Object Identifier: Date added to catalog: 2014-04-22
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article Available 21831099

AIM: Rectal carcinoids are often inadequately resected by snare excision during colonoscopy. Transanal endoscopic microsurgery is a minimally invasive procedure with low morbidity that offers full-thickness excision with a low rate of negative margins. It presents an excellent alternative to radical surgery for mid and proximally located lesions. We report the largest United States (US) experience in the use of transanal endoscopic microsurgery for rectal carcinoids.

CONCLUSION: Transanal endoscopic microsurgery is effective and safe for the surgical resection of rectal carcinoids<2 cm in diameter, with typical features and located more than 5 cm from the anal verge. Transanal endoscopic microsurgery can be used for primary resection or for resection after incomplete colonoscopic snare excision. 2011 The Authors. Colorectal Disease 2011 The Association of Coloproctology of Great Britain and Ireland.

METHOD: Data of patients who had undergone transanal endoscopic microsurgery for rectal carcinoids were prospectively collected and retrospectively analyzed. Patient and tumour characteristics, operative and perioperative details, as well as oncological outcomes were reviewed.

RESULTS: Over a 12-year period, 24 patients underwent transanal endoscopic microsurgery for rectal carcinoids. Of these, six (25%) were primary surgical resections and 18 (75%) were performed after incomplete snare excisions during colonoscopy. Three (17%) patients who underwent full-thickness resection after snare excision had residual tumour on histopathological examination. Negative margins were obtained in all cases. No recurrences were noted.

Powered by Koha