 |
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2013, vol. 19, book 3;
Subject Collection: Medicine
Page: 473-475
DOI: 10.5272/jimab.2013193.473
Published online: 22 November 2013
J of IMAB. 2013 Jul-Dec;19(3):473-475
ENDOSCOPIC RADICAL TREATMENT IN EARLY RECTAL CANCER
Nikola Y. Kolev1, Valentin L. Ignatov1, Anton Y. Tonev1 
, Aleksandar K. Zlatarov1, Elitsa P. Encheva2, Tanya N. Kirilova1, Vasil M. Bojkov3, Krasimir D. Ivanov1.
1) Department of General and Operative Surgery, 2) Department of Nuclear Medicine, Metabolic Therapy and Radiotherapy, 3) Department of Surgical Diseases
University Hospital “St. Marina” Varna, Bulgaria, Medical University of Varna, Bulgaria.
.
ABSTRACT:
The standard radical treatment for early rectal cancer includes a removal of the tumor with total mesorectal excision. There are lots of new techniques for endoscopic treatment which could shift the strategy for obtaining the postoperative results. We report our radical endoscopic treatment of early rectal carcinoma by endoscopic submucosal dissection. Forty five patients with early-stage rectal cancer (carcinoma in situ, T1sm1 and T1sm2) were enrolled. All of them were staged by 3-D endorectal ultrasound. In 43 cases, of the tumors were endoscopically removed. No oncological results were report. The bleeding was stopped by endoscopic hemostasis. No systematic complications were observed. No mortality was observed. The ESD procedure for early-stage rectal cancers is feasible and safe. The postoperative results are significantly better in comparison of radical surgical treatment. The perioperative morbidity is different as type and the postoperative period is shorter.
Key words: radical treatment; rectal cancer; endoscopic treatment; 3-D endorectal ultrasound;, endoscopic submucosal dissection;
- Download FULL TEXT /PDF 743 KB/
Please cite this article as:
Kolev NY, Ignatov VL, Tonev AY, Zlatarov AK, Encheva EP, Kirilova TN, Bojkov VM, Ivanov KD. AENDOSCOPIC RADICAL TREATMENT IN EARLY RECTAL CANCER. J of IMAB. 2013 Jul-Dec;19(3):473-475. DOI: 10.5272/jimab.2013193.473.
Correspondence to: Anton Y. Tonev, University Hospital "St. Marina", Medical University of Varna; 1, Hristo Smirnenski Blvr., Varna, Bulgaria.; E-mail: teraton@abv.bg;
REFERENCES:
1. Ahmad NA, Kochman ML, Long WB, Furth EE, Ginsberg GG. Efficacy, safety, and clinical outcomes of endoscopic mucosal resection: a study of 101 cases. Gastrointest Endosc. 2002 Mar;55(3):390-396. [PubMed] [CrossRef]
2. Kudo S, Kashida H, Tamura T, Kogure E, Imai Y, Yamano H, et al. Colonoscopic diagnosis and management of nonpolypoid early colorectal cancer. World J. Surg. 2000 Sep;24(9):1081-1090. [PubMed]
3. Saito Y, Fujii T, Kondo H, Mukai H, Yokota T, Kozu T, et al. Endoscopic treatment for laterally spreading tumors in the colon. Endoscopy. 2001 Aug;33(8):682-686. [CrossRef]
4. Soetikno RM, Gotoda T, Nakanishi Y, Soehendra N. Endoscopic mucosal resection. Gastrointest Endosc. 2003 Apr;57(4):567-579. [PubMed]
5. Yokota T, Sugihara K, Yoshida S. Endoscopic mucosal resection for colorectal neoplastic lesions. Dis Colon Rectum. 1994 Nov;37(11):1108-1111. [PubMed].
Accepted for publication: 21 August 2013
Published online: 22 November 2013