Transanal surgery in the treatment of rectal tumors

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Abstract

In last two decades, transanal endoscopic microsurgery (TEM) in treatment of both benign and malignant tumor of rectum is actively developing. The aim of this review was to describe the current status of transanal interventions. Due to the low level of recurrens (mean about 6 %) TEM has become the method of choice for removal of rectal adenomas. Several studies have demonstrated the benefits of treatment TEM in cases of early T1 cancer compared to conventional resection. However, for more invasive adenocarcinomas performing TEM remains controversial, but it’s very promising method for the complex treatment. Just as transanal mesorectal exision in treatment of mid- and low rectal cancer as a new strategy – natural orifice transluminal surgery. However, it lack of evidence base and international experience in small series presented, so large randomized trials is needed.

About the authors

P. V. Mel’nikov

Moscow Regional Oncologic Dispensary

Author for correspondence.
Email: drmelnikov84@gmail.com
6 Karbysheva St., Balashikha, Moscow region, 143900 Russian Federation

S. V. Savenkov

Moscow Regional Oncologic Dispensary

6 Karbysheva St., Balashikha, Moscow region, 143900 Russian Federation

D. Yu. Kanner

City Clinical Hospital No 62, Moscow Healthcare Department

27 Istra Settlement, p/o Stepanovskoe, Krasnogorsk district, Moscow region, 143423 Russian Federation

D. V. Eres’ko

Moscow Regional Oncologic Dispensary

6 Karbysheva St., Balashikha, Moscow region, 143900 Russian Federation

R. I. Tamrazov

N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia

24 Kashirskoe Shosse, Moscow, 115478 Russian Federation

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Copyright (c) 2016 Mel’nikov P.V., Savenkov S.V., Kanner D.Y., Eres’ko D.V., Tamrazov R.I.

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