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Minerva Chirurgica 2018 Apr 13

DOI: 10.23736/S0026-4733.18.07702-7

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

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


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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: Conventional transanal excision - Transanal endoscopic microsurgery - Transanal Endoscopic Operation - Transanal Minimally Invasive Surgery - Full-thickness excision - Early Rectal cancer - Lymph nodes - Chemoradiation therapy - Total mesorectal excision

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Publication History

Article first published online: April 13, 2018
Manuscript accepted: March 23, 2018
Manuscript received: March 9, 2018

Per citare questo articolo

Allaix ME, Arezzo A, Nestorović M, Galosi B, Morino M. Local excision for rectal cancer. A minimally invasive option. Minerva Chir 2018 Apr 13. DOI: 10.23736/S0026-4733.18.07702-7

Corresponding author e-mail

mario.morino@unito.it