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Submucosal resection via a transanal approach for treatment of epithelial rectal tumors - a multicenter study.
Cantatore, Matteo; Jimeno Sandoval, Juan Carlos; Das, Smita; Sesana, Alberto; Charlesworth, Tim; Ryan, Tony; Morello, Emanuela M; Gobbetti, Matteo; Cinti, Filippo; Rossanese, Matteo.
Afiliación
  • Cantatore M; Anderson Moores Veterinary Specialists, part of Linnaeus Veterinary Limited, Winchester, UK.
  • Jimeno Sandoval JC; Anderson Moores Veterinary Specialists, part of Linnaeus Veterinary Limited, Winchester, UK.
  • Das S; Davies Veterinary Specialists, part of Linnaeus Veterinary Limited, Hitchin, UK.
  • Sesana A; Davies Veterinary Specialists, part of Linnaeus Veterinary Limited, Hitchin, UK.
  • Charlesworth T; Eastcott Veterinary Referrals, part of Linnaeus Veterinary Limited, Swindon, UK.
  • Ryan T; Southern Counties Veterinary Specialists, Ringwood, UK.
  • Morello EM; Department of Veterinary Science, University of Turin, Turin, Italy.
  • Gobbetti M; Clinica Veterinaria Malpensa, Anicura, Samarate, Italy.
  • Cinti F; Eastcott Veterinary Referrals, part of Linnaeus Veterinary Limited, Swindon, UK.
  • Rossanese M; Clinica Veterinaria Apuana, Anicura, Marina di Carrara (MS), Italy.
Vet Surg ; 51(3): 397-408, 2022 Apr.
Article en En | MEDLINE | ID: mdl-34997760
OBJECTIVE: To report complications and long-term outcomes after submucosal resections of benign and malignant epithelial rectal masses. STUDY DESIGN: Retrospective multicentric study. SAMPLE POPULATION: Medical records of 93 dogs at 7 referral hospitals. METHODS: Records were reviewed for surgical time, diagnosis, margins, complications, and recurrences. Survival of dogs was evaluated based on tumor types, categorized as benign, carcinoma in situ, and carcinoma. The Kaplan-Meier survival curve and Cox proportional hazards analysis were used to determine the association of a range of variables with recurrence and survival time. RESULTS: Duration of follow up was 708 days (range, 25-4383). Twenty-seven dogs (29%) developed complications. Recurrence was identified in 20/93 (21%), with 12/20 recurrent masses treated with repeat submucosal resection. Median survival was not reached in any group. The 1-,2-, 5-year survival rates for carcinomas were 95%, 89%, and 73% respectively. However, overall survival was longer for benign tumors than carcinomas (P = .001). Recurrence was more likely when complications (P = .032) or incomplete margins (P = .023) were present. Recurrence was associated with an increased risk of death (P = .046). CONCLUSION: Submucosal resection of both benign and malignant rectal masses was associated with a low rate of severe complications and prolonged survival in the 93 dogs described here. CLINICAL SIGNIFICANCE: Submucosal resection is a suitable technique for resection of selected rectal masses.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Recto / Carcinoma / Enfermedades de los Perros / Recurrencia Local de Neoplasia Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Animals Idioma: En Revista: Vet Surg Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Recto / Carcinoma / Enfermedades de los Perros / Recurrencia Local de Neoplasia Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Animals Idioma: En Revista: Vet Surg Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos