[Laser treatment of rectosigmoidal tumors: long-term results].
Over a 10 year period, 530 patients were treated at the Lille Laser Center for a rectosigmoid tumour. Both argon and Nd:YAG lasers were used. Two hundred patients were treated for palliation of symptoms from a rectosigmoid cancer, 313 patients were treated for a rectosigmoid villous adenoma, and 17 patients with a familial polyposis were treated for the rectal polyposis remaining after total colectomy. The immediate success rate and complication rate were 88% and 2.7%, respectively, for patients with advanced cancer, 92% and 2% for those with a villous adenoma, and 100% and 0% for those with polyposis. Patients with an advanced cancer remained functionally improved during a 10.1 month average period after initial improvement. The recurrence rate after initial treatment for villous adenomas was 14% during a 3.1 year average follow-up. Immediate results were influenced by reason for treatment, initial symptoms and circumferential extension for patients with a cancer, and only by circumferential extension for patients with a villous adenoma. Long term results were influenced by reason for treatment and circumferential extension for patients with a cancer, and by reason for treatment, initial histology and localization for patients with a villous adenoma.
Brunetaud
J M
JM
Centre Multidisciplinaire de Traitement par Laser, Hôpital C. Huriez, Lille, France.
Maunoury
V
V
Cochelard
D
D
Boniface
B
B
Cortot
A
A
Paris
J C
JC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003365:Costs and Cost Analysis; D005069:Evaluation Studies as Topic; D006801:Humans; D053685:Laser Therapy / Q000191:economics; D008875:Middle Aged; D010166:Palliative Care; D011351:Proctoscopy; D011379:Prognosis; D012004:Rectal Neoplasms / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000601:surgery*
Traitement par laser des tumeurs rectosigmoïdiennes: résultats à long terme.