[Laser therapy in the treatment of tumors of the rectum and inoperable sessile polyps. Personal case series].
The Authors report on their experience in endoscopic laser photoablation (Nd-YAG laser) of advanced, non surgical rectosigmoid tumors, large sessile adenomas and their recurrence after polypectomy. 37 patients have been studied: 21 out of them had an advanced rectosigmoid tumor, 10 out a large sessile adenoma, and the remaining 6 had a recurrence of adenoma after polypectomy. All the rectosigmoid tumors improved either clinically or symptomatically after 2-4 laser treatments. In 2 cases stenosis occur after laser therapy but no dilatation was necessary. Large adenomas and recurrence were all cured by the laser treatment, with a recurrence rate of about 30% at six months. In conclusion, endoscopic laser treatment is a safe and effective technique for the treatment of benign sessile rectosigmoid tumors and for palliation of symptoms from malignant ones in selected non surgical patients.
Bertone
A
A
Spandre
M
M
Gemme
C
C
Cavallero
M
M
Rossini
F P
FP
D000236:Adenoma / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007417:Intestinal Polyps / Q000601:surgery*; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D010166:Palliative Care; D012004:Rectal Neoplasms / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000601:surgery*
Laser terapia nel trattamento dei tumori del retto e dei polipi a larga base inoperabili. Casistica personale.