ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2012
Transanal endoscopic microsurgery vs. laparoscopic total mesorectal excision for T2N0 rectal cancer.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Pooled it
- Guideline
- Review
- Initial case series experience with robotic-assisted transanal minimally invasive surgery performed with da Vinci single-port system for the excision of rectal cancer.Surgical endoscopy · 2024Article
- Radical versus Local Surgical Excision for Early Rectal Cancer: A Systematic Review and Meta-Analysis.Archives of internal medicine research · 2024Article
- Long-term outcomes of transanal endoscopic microsurgery for clinical complete response after neoadjuvant treatment in T2-3 rectal cancer.Surgical endoscopy · 2022Article
- Total Mesorectal Excision vs. Transanal Endoscopic Microsurgery Followed by Radiotherapy for T2N0M0 Distal Rectal Cancer: A Multicenter Randomized Trial.Frontiers in surgery · 2022Article
- Preoperative chemoradiotherapy affects postoperative outcomes and functional results in patients treated with transanal endoscopic microsurgery for rectal neoplasms.Techniques in coloproctology · 2021Article
- Article
- Transanal endoscopic microsurgery for rectal cancer: T1 and beyond? An evidence-based review.Surgical endoscopy · 2016Review
- Transanal Minimally Invasive Surgery: State of the Art.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Review
- Local excision by transanal endoscopic surgery.World journal of gastroenterology · 2015Review
- Treatment of rectal cancer by transanal endoscopic microsurgery: experience with 425 patients.World journal of gastroenterology · 2014Article
- Sphincter-sparing surgery in patients with low-lying rectal cancer: techniques, oncologic outcomes, and functional results.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Review
- Palliative care and end-stage colorectal cancer management: the surgeon meets the oncologist.World journal of gastroenterology · 2014Review
- Practice patterns and long-term survival for early-stage rectal cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013Article
- Transanal endoscopic microsurgery: what indications in 2013?Gastroenterology report · 2013Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim was to compare transanal endoscopic microsurgery (TEM) and laparoscopic resection (LR) in terms of short-term and oncologic outcomes in patients with a preoperatively diagnosed T2N0 extraperitoneal rectal cancer.
methodsWe conducted a retrospective analysis of a prospective database. All patients with a preoperatively staged T2N0 extraperitoneal rectal adenocarcinoma were considered for LR. Patients refusing LR or medically unfit for LR were considered for TEM, which was associated with neoadjuvant RT in the last cases. Only patients with a minimum follow-up of 36 months were included.
resultsSeventy-eight patients were included. TEM was indicated or preferred in 43 patients; of these, 11 underwent neoadjuvant RT. Morbidity was significantly lower after TEM (p < 0.001). The median follow-up was 70 (36-140) months. A higher local recurrence rate was noted after TEM (26 %), compared to neoadjuvant RT + TEM (0 %) and LR (9 %) (p = 0.070). Overall, 5-year survival rate was 76 % after TEM, 77.8 % after RT + TEM, and 96 % after LR, respectively (p = 0.134).
conclusionsWhile TEM alone may only be considered a palliative treatment, it might allow similar oncologic results to abdominal resection in responders to neoadjuvant RT. Large prospective randomized trials are awaited to confirm these findings.
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