Key Factors in Achieving Successful Endoscopic Dissection of Rectal Tumors: Early Results of 33 Consecutive Rectal Endoscopic Submucosal Dissections in Polish Academic Center. Issue 2 (April 2015)

• Record Type: Journal Article
• Authors: Spychalski, Michal; Zelga, Piotr; Dziki, Adam
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 25:Issue 2(2015)
• Publication Date: 2015-04
• Subjects: ESD -- rectal tumor -- colorectal cancer; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000111
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : Introduction: The aim of the study was to investigate outcomes of rectal endoscopic dissection (ESDs) performed in a single academic institution in Poland. Methods and Patients: Thirty-three consecutive cases of rectal ESDs were performed between June 2013 and April 2014. Effectiveness of dissection, complications, and the tumor recurrence after 3 months of treatment were than retrospectively investigated. Results: The average size of the dissected tumor was 4.025 cm. Overall en-block resection rate was 70%. Follow-up examinations after 3 months so far were conducted in 15 patients. There was no local recurrence. In univariate analysis, the en-bloc resection rate was significantly higher in smaller lesions ( P <0.001) and in patients undergone ESD in second half period of service duration. Conclusions: ESD of the rectal tumors is a valuable alternative treatment method for adenomas and T1 SM1 rectal cancers. The risk of serious complications and local recurrence is low.