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Published in:

01-06-2015

Laparoscopic surgery after endoscopic resection for rectal cancer and neuroendocrine tumors

Authors: Takashi Inoue, Tadashi Nakagawa, Shinji Nakamura, Takeshi Ueda, Naoto Nishigori, Keijiro Kawasaki, Shinsaku Obara, Takayuki Nakamoto, Yoshiyuki Nakajima, Fumikazu Koyama, Hisao Fujii

Published in: Surgical Endoscopy | Issue 6/2015

Abstract

Background

Endoscopic resection (ER) of tumors causes inflammation, edema, fibrosis, and adhesions in the surrounding tissue. However, little is known about the effect of ER on subsequent laparoscopic surgery for rectal tumors. The objective of this retrospective study was to analyze the effect of ER on subsequent laparoscopic surgery for rectal tumors.

Methods

Twenty-eight patients underwent laparoscopic surgery for rectal adenocarcinoma with submucosal invasion or a rectal neuroendocrine tumor at our hospital between January 2005 and December 2012. A group of 14 patients who underwent laparoscopic surgery with previous ER was compared to a group of 14 patients who underwent laparoscopic surgery without previous ER.

Results

Though most fibrosis involved the submucosa after polypectomy and endoscopic mucosal resection, fibrosis after endoscopic submucosal dissection involved the muscularis propria in two patients, and the subserosa in one patient. There were no statistically significant differences in clinical outcomes between the groups.

Conclusion

Laparoscopic surgery after ER for rectal tumors is safe and feasible. Laparoscopic surgery is the reasonable first-choice for radical treatment of rectal tumors after ER.

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Title: Laparoscopic surgery after endoscopic resection for rectal cancer and neuroendocrine tumors
Authors: Takashi Inoue
Tadashi Nakagawa
Shinji Nakamura
Takeshi Ueda
Naoto Nishigori
Keijiro Kawasaki
Shinsaku Obara
Takayuki Nakamoto
Yoshiyuki Nakajima
Fumikazu Koyama
Hisao Fujii
Publication date: 01-06-2015
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 6/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-014-3832-z

At a glance: The STEP trials

Springer Medicine

Laparoscopic surgery after endoscopic resection for rectal cancer and neuroendocrine tumors

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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