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REVIEW  RECTAL CANCER TREATMENT IN THE 21ST CENTURY 

Minerva Chirurgica 2018 December;73(6):548-57

DOI: 10.23736/S0026-4733.18.07702-7

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Local excision for rectal cancer: a minimally invasive option

Marco E. ALLAIX, Alberto AREZZO, Milica NESTOROVIĆ, Bianca GALOSI, Mario MORINO

Department of Surgical Sciences, University of Turin, Turin, Italy



Transanal excision (TAE) with conventional retractors and transanal endoscopic microsurgery (TEM) are two well established minimally invasive surgical options for the treatment of selected rectal cancers. TEM is nowadays considered the standard of care for the transanal excision of rectal tumors, since it is associated with significantly better quality of excision and lower rates of recurrence than TAE. When compared with rectal resection and total mesorectal excision, TEM has lower postoperative morbidity and better functional outcomes, with similar long-term survival rates in selected early rectal cancers. More recently, transanal minimally invasive surgery (TAMIS) has been developed as an alternative to TEM. Possible benefits of TAMIS are under evaluation.


KEY WORDS: Transanal endoscopic microsurgery - Transanal endoscopic surgery - Rectal neoplasms - Lymph nodes

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