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Surgical Endoscopy
Published in: Surgical Endoscopy 4/2006

01-04-2006 | Original Articles

Outcomes for early rectal cancer managed with transanal endoscopic microsurgery

A 5-year follow-up study

Authors: F. Stipa, A. Burza, G. Lucandri, M. Ferri, A. Pigazzi, V. Ziparo, G. Casula, S. Stipa

Published in: Surgical Endoscopy | Issue 4/2006

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Abstract

Background

This study aimed to evaluate the long-term risk of local and distant recurrence as well as the survival of patients with early rectal cancer treated using transanal endoscopic microsurgery (TEM).

Methods

The study reviewed 69 patients with Tis/T1/T2 rectal cancer treated using full-thickness excision between 1991 and 1999. The pathology T-stages included 25 Tis, 23 T1, and 21 T2. The median follow-up period was 6.5 years (range 5–10.2 years).

Results

The overall local recurrence rate was 8.7%. The 5-year local recurrence rate was 8% for Tis, 8.6% for T1, and 9.5% for T2. All six patients with recurrence were managed surgically. The 5-year disease-specific survival rate was 100% for Tis, 100% for T1, and 70% for T2. The overall cancer-related mortality rate was 7.2%.

Conclusions

After local excision of early rectal cancer, a substantial local recurrence rate is observed. Patients with recurrent Tis/T1 cancers who undergo a salvage operation may achieve good long-term outcome. Local treatment without adjuvant therapy for T2 rectal cancers appears inadequate.
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Metadata
Title
Outcomes for early rectal cancer managed with transanal endoscopic microsurgery
A 5-year follow-up study
Authors
F. Stipa
A. Burza
G. Lucandri
M. Ferri
A. Pigazzi
V. Ziparo
G. Casula
S. Stipa
Publication date
01-04-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0408-y

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