پیوندهای مفید
آمار
| تعداد نشریات | 20 |
| تعداد شماره‌ها | 1,141 |
| تعداد مقالات | 10,441 |
| تعداد مشاهده مقاله | 44,752,966 |
| تعداد دریافت فایل اصل مقاله | 10,567,520 |
TAMIS for Recurrent Cancer of the High Rectum (25 cm from the Anal Verge) in a Patient with Serious Associated Disorders (Rescue Surgery) | ||
| Iranian Journal of Colorectal Research | ||
| مقاله 8، دوره 9، شماره 2، شهریور 2021، صفحه 82-85 اصل مقاله (908.82 K) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.30476/acrr.2021.91751.1106 | ||
| نویسندگان | ||
| Alessandro Verbo1؛ Vito Laterza1؛ Marco Montagna* 2؛ Giovanni Di Palma3؛ Giovanni Moschetta1؛ Annamaria Martullo1 | ||
| 1Catholic University of the Sacred Hearth, Policlinico Agostino Gemelli IRCCS Rome, Italy | ||
| 2Catholic University of the Sacred Hearth, Policlinico Agostino Gemelli IRCCS Rome, Italy Ospedali Riuniti, Foggia, Italy | ||
| 3General Regional Hospital F. Miulli Acquaviva delle Fonti Italy | ||
| چکیده | ||
| INTRODUCTION Transanal Minimally invasive surgery (TAMIS) is indicated for benign lesions of the rectum distant up to 5 cm and not exceeding more than 1/3 of the rectal circumference; for early stage malignancies confined to the submucosa (T1 sm1 according to the Kikuchi classification); for cancers after complete response to neoadiuvant treatments or with T1 residue (due to a risk of mesorectal positive lymph node between 3-6%); for T2-T3 N0 in patients who cannot undergo major surgical resections due to a compromised general (rescue surgery). TAMIS is especially recommended for neoplasms located at a distance between 5 and 18 cm from the anal verge. CASE PRESENTATION We performed TAMIS on a 72-year-old patient diagnosed with diffuse polyposis syndrome (FAP), with multimorbidity and a history of recurrences, all treated with surgical resection, AND with a new recurrence on the ileo-rectal anastomosis at about 25 cm from the anal verge. A rectoscopy and a total body CT were performed (anastomotic level; size 2 cm; staging: cT1-2, N0, M0; histology: adenocarcinoma). The final decision after multidisciplinary meeting was for TAMIS, due to high intra- and post-operative risk contraindicating major surgery. Data regarding total operating time, blood losses, length of stay, surgical and general intra and post-operative complications, resumption of nutrition and therapies (antibiotics and pain relievers) were collected. The operation was successful, with a total operating time of 55 minutes, and an estimated blood loss of 20 ml. The patient was rapidly mobilized and nutrition promptly resumed. The length of stay was 3 days. We did not observe any complications. CONCLUSION We showed for this patient the feasibility and safety of TAMIS resections at greater distances than those normally recommended. | ||
| کلیدواژه‌ها | ||
| Transanal Minimally invasive surgery (TAMIS)؛ rectal cancer؛ laparoscopic surgery | ||
| مراجع | ||
|
1. Young, D. O. & Kumar, A. S. Local Excision of Rectal Cancer. Surgical Clinics of North America (2017) doi:10.1016/j.suc.2017.01.007.
2. Ahmed, Y. & Othman, M. EMR/ESD: Techniques, Complications, and Evidence. Current Gastroenterology Reports (2020) doi:10.1007/s11894-020-00777-z.
3. Perivoliotis, K., Baloyiannis, I., Sarakatsianou, C. & Tzovaras, G. Comparison of the transanal surgical techniques for local excision of rectal tumors: a network meta-analysis. International Journal of Colorectal Disease (2020) doi:10.1007/s00384-020-03634-7.
4. Lee, L. et al. Quality of Local Excision for Rectal Neoplasms Using Transanal Endoscopic Microsurgery Versus Transanal Minimally Invasive Surgery: A Multi-institutional Matched Analysis. Dis. Colon Rectum (2017) doi:10.1097/DCR.0000000000000884.
5. Barendse, R. M. et al. Colorectal surgeons’ learning curve of transanal endoscopic microsurgery. Surg. Endosc. (2013) doi:10.1007/s00464-013-2931-6.
6. McLemore, E. C. et al. Transanal minimally invasive surgery for benign and malignant rectal neoplasia. Am. J. Surg. (2014) doi:10.1016/j.amjsurg.2014.01.006.
7. Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME). Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME) (2019). doi:10.1007/978-3-030-11572-2.
8. Lee, L. et al. Outcomes of closed versus open defects after local excision of rectal neoplasms: A multi-institutional matched analysis. Dis. Colon Rectum (2018) doi:10.1097/DCR.0000000000000962.
9. Haugvik, S. P. et al. A critical appraisal of transanal minimally invasive surgery (TAMIS) in the treatment of rectal adenoma: a 4-year experience with 51 cases. Scand. J. Gastroenterol. (2016) doi:10.3109/00365521.2016.1157891.
10. Hahnloser, D. et al. Transanal minimal invasive surgery for rectal lesions: Should the defect be closed? Color. Dis. (2015) doi:10.1111/codi.12866.
11. Williams, J. G. et al. Management of the malignant colorectal polyp: ACPGBI position statement. Color. Dis. (2013) doi:10.1111/codi.12262. | ||
|
آمار تعداد مشاهده مقاله: 354 تعداد دریافت فایل اصل مقاله: 269 |
||