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Transanal Minimally Invasive Surgery Versus Endoscopic Submucosal Dissection for Rectal Lesions: A Community Hospital Experience.
You, Jau-Jie; Shen, Ming-Yin; Chen, William Tzu-Liang; Fan, Jiun-Wei; Shao, Yen-Chen; Feng, Chun-Lung; Chang, Chu-Cheng; Su, Yu-Hao; Fingerhut, Abe.
Afiliación
  • You JJ; Department of Colorectal Surgery, China Medical University Hsinchu Hospital, Zhubei, Taiwan.
  • Shen MY; Department of Colorectal Surgery, China Medical University Hsinchu Hospital, Zhubei, Taiwan.
  • Chen WT; Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan.
  • Fan JW; Department of Colorectal Surgery, China Medical University Hsinchu Hospital, Zhubei, Taiwan.
  • Shao YC; College of Medicine, China Medical University, Taichung, Taiwan.
  • Feng CL; Department of Gastroenterology, China Medical University Hsinchu Hospital, Zhubei, Taiwan.
  • Chang CC; Department of Colorectal Surgery, China Medical University Hsinchu Hospital, Zhubei, Taiwan.
  • Su YH; Department of Gastroenterology, China Medical University Hsinchu Hospital, Zhubei, Taiwan.
  • Fingerhut A; Department of Colorectal Surgery, China Medical University Hsinchu Hospital, Zhubei, Taiwan.
J Laparoendosc Adv Surg Tech A ; 2024 Jul 31.
Article en En | MEDLINE | ID: mdl-39084702
ABSTRACT

Background:

To compare tumor margins and surgical outcomes between transanal minimally invasive surgery (TAMIS) and endoscopic submucosal dissection (ESD) for large or malignant rectal adenomatous polyps.

Methods:

Single institution retrospective analysis of patients who underwent TAMIS or ESD surgery.

Results:

In total, 30 consecutive patients with similar demographics who underwent either TAMIS (n = 19) or ESD (n = 11) were included. The median (interquartile range, IQR) tumor distances from the anal verge for TAMIS and ESD were 5 cm (3.5-8) and 3 cm (2-4.25) (P = 0.016). Four in TAMIS and two in ESD occupied more than half of the circumference of the bowel lumen. Five (four in situ and one stage 1) in TAMIS and two (one in situ and one stage 1) in ESD were malignant. The median specimen length, width, and height were 3.2 cm, 2.6 cm, and 1.0 cm and 3.5 cm, 2.0 cm, and 0.3 cm for TAMIS and ESD, respectively. There were no statistically significant differences in tumor circumference, malignant ratios, or specimen sizes. Resection margins were involved in two of the ESD, while none of the TAMIS were involved (P = 0.041). The median (IQR) operative time was 72 (62-89) minutes and 120 (90-180) minutes for TAMIS and ESD (P = 0.005). The median (IQR) follow-up time was 3.3 (0.3-11.7) and 0.9 (0.3-15.4) months for TAMIS and ESD. There were no morbidities, no mortalities, or local recurrences among the two groups.

Conclusions:

Both TAMIS and ESD were found to be feasible and safe in community hospital practice. Operative time was shorter, and there were no involved margins in TAMIS (versus ESD).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2024 Tipo del documento: Article País de afiliación: Taiwán 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 Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos