[Local therapy of early rectal carcinoma with curative intent: implications for a change in oncologic strategy].
Patients with pT1 low-risk rectal carcinomas seem to be overtreated by a classical radical operation. A total of 170 patients with rectal carcinomas were locally treated with the transanal endoscopic microsurgery (TEM) technique. Four of the group with pT1 low-risk tumours with local therapy developed a recurrence, three of whom underwent a curative secondary procedure, bringing the failure rate to one out of 81. Two recurrences were diagnosed among the 22 patients who were re-resected after local treatment in stage pT1 low risk. Both patients died of the tumour disease, another due to dehiscence of the suture, bringing the failure rate in the re-resected group to three of 22.
Mentges
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B
Abteilung für Allgemeine Chirurgie und Poliklinik, Eberhard-Karls-Universität Tübingen.
Buess
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Effinger
G
G
Becker
H D
HD
D000368:Aged; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D009367:Neoplasm Staging; D012004:Rectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D015996:Survival Rate; D016896:Treatment Outcome
Die lokale Therapie des Rektumfrühkarzinomes in kurativer Absicht: Implikationen für eine Anderung der onkologischen Strategie.