[Effect of transanal excision on rate of recurrence of stage I rectal carcinoma in comparison with radical resection methods].
BACKGROUND
In the case of T1 low-risk rectal cancer, transanal excision is an established method. Now the question arises whether we can also treat higher stages, i.e. T1 high-risk and T2 tumors, by transanal excision with an acceptable recurrence rate.


METHODS
The hospital notes of 152 patients treated by radical resection and transanal excision were examined retrospectively with special regard to the rate of recurrence after an average follow-up of 9.5 years.


RESULTS
Twenty-five patients were treated by rectal exstirpation, 105 by anterior resection. In 22 cases local tumor excision was performed: in 12 T1 carcinomas with curative intent and in 10 T2 carcinomas as a minimally invasive procedure for high-risk patients. Recurrence rates were between 8% and 9% in the three different groups.


CONCLUSIONS
We recommend transanal excision with curative intent only in T1 low-risk tumors. Local excision is seen as an alternative minimally invasive treatment for patients in poor general condition with T2 carcinomas.
Ambacher
T
T
BG-Kliniken Bergmannsheil, Chirurgische Universitätsklinik Bochum.
Kasperk
R
R
Schumpelick
V
V
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D011351:Proctoscopy; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D012306:Risk