Synchronous colorectal neoplasias: our experience about laparoscopic-TEM combined treatment.
Synchronous colorectal neoplasias are defined as 2 or more primary tumors identified in the same patient and at the same time. The most voluminous synchronous cancer is called "first primitive" or "index" cancer. The aim of this work is to describe our experience of minimally invasive approach in patients with synchronous colorectal neoplasias.Since January 2001 till December 2009, 557 patients underwent colectomy for colorectal cancer at the Department of General and Emergency Surgery of the University of Perugia; 128 were right colon cancers, 195 were left colon cancers while 234 patients were affected by rectal cancers. We performed 224 laparoscopic colectomies (112 right, 67 left colectomies and 45 anterior resections of rectum), 91 Transanal Endoscopic Microsurgical Excisions (TEM) and 53 Trans Anal Excisions (TAE). In the same observation period 6 patients, 4 males and 2 females, were diagnosed with synchronous colorectal neoplasias. Minimal invasive treatment of colorectal cancer offers the opportunity to treat two different neoplastic lesions at the same time, with a shorter post-operative hospitalization and minor complications. According to our experience, laparoscopy and TEM may ease the treatment of synchronous diseases with a lower morbidity rate.
General Surgery Department, St, Maria Hospital, Terni (TR), University of Perugia, Italy. alessandrospizzirri@libero.it
Alessandro
A
Spizzirri
Marco
M
Coccetta
Roberto
R
Cirocchi
Francesco
F
La Mura
Vincenzo
V
Napolitano
Maurizio
M
Bravetti
Daniele
D
Giuliani
Angelo
A
De Sol
Eleonora
E
Pressi
Stefano
S
Trastulli
Micol Sole
MS
Di Patrizi
Nicola
N
Avenia
Francesco
F
Sciannameo
D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D001003:Anal Canal / Q000473:pathology / Q000601:surgery*; D001005:Anus Neoplasms / Q000473:pathology / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D003131:Combined Modality Therapy; D004724:Endoscopy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008866:Microsurgery; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome