[Surgical management of villous and tubulovillous adenomas of the rectum].
One hundred four cases of middle and low rectal villous and tubulovillous adenomas have been operated on with transanal polypectomy (8), transanal endoscopic microsurgery--TEM (80), anterior rectum resection with double stapled straight sigmoideorectosomy (7), and deep rectum resection, bi-directional mucosectomy and hand sutured straight sigmoideoanostomy (9). The option of the authors to remove the tumours in 5 cm to the dentate line are the transanal polypectomy or transanal mucosectomy corresponding to their size. The transanal endoscopic microsurgical technic is recommended to manage the polyps smaller than 4 to 5 cm in the middle rectum. The best radicallity in removal of the circular, extended villous adenomas could be achieved with deep rectum resection, bi-directional mucosectomy and transanal straight, hand sewn sigmoideoanostomy.
Nagy
A
A
Altalános Sebészeti Osztály, Veszprém Megyei Csolnoky Ferenc Kórház-Rendelöintézet, Veszprém.
Kovács
T
T
Berki
C
C
Jánó
Z
Z
D018253:Adenoma, Villous / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000714:Anastomosis, Surgical; D012809:Colon, Sigmoid / Q000601:surgery; D003125:Colostomy; D003424:Crohn Disease / Q000150:complications / Q000601:surgery; D004241:Diverticulum, Colon / Q000150:complications / Q000601:surgery; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D012004:Rectal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000601:surgery