Results of total mesorectal excision and transanal endoscopic microsurgery for rectal adenocarcinoma with submucosal invasion.
1/5 보강
🔎 핵심 키워드
미세수술 ×4
내시경 ×4
pelvic cavity
TME
[MATERIAL AND METHODS] A
adenocarcinoma
cancer
tumor
전체 NER ↓
PICO 자동 추출 (휴리스틱, conf 2/4)
유사 논문P · Population 대상 환자/모집단
156 patients with rectal adenocarcinoma pT1 between October 2011 and August 2019 (102 cases - TEM, 54 cases - TME).
I · Intervention 중재 / 시술
추출되지 않음
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
Disease-free 3-year survival was 92% after TEM and 96% after TME (=0.058). [CONCLUSION] Transanal endoscopic microsurgery is a relatively safe alternative to total mesorectal excision for early rectal cancer.
[OBJECTIVE] To analyze early and long-term outcomes after total mesorectal excision (TME) and transanal endoscopic microsurgery (TEM) in patients with T1 rectal cancer.
APA
Chernyshov SV, Nagudov MA, et al. (2022). Results of total mesorectal excision and transanal endoscopic microsurgery for rectal adenocarcinoma with submucosal invasion.. Khirurgiia(4), 34-41. https://doi.org/10.17116/hirurgia202204134
MLA
Chernyshov SV, et al.. "Results of total mesorectal excision and transanal endoscopic microsurgery for rectal adenocarcinoma with submucosal invasion.." Khirurgiia, no. 4, 2022, pp. 34-41.
PMID
35477198 ↗
Abstract 한글 요약
[OBJECTIVE] To analyze early and long-term outcomes after total mesorectal excision (TME) and transanal endoscopic microsurgery (TEM) in patients with T1 rectal cancer.
[MATERIAL AND METHODS] A retrospective non-randomized comparative study included 2 groups of patients: group 1 - total mesorectal excision, group 2 - transanal endoscopic microsurgery. In the second group, total mesorectal excision was proposed for patients with tumor invasion depth pT1sm3 and/or lymphovascular invasion and/or low differentiation. If total mesorectal excision was performed as a salvage surgery, the patient was excluded from further analysis.
[RESULTS] There were 156 patients with rectal adenocarcinoma pT1 between October 2011 and August 2019 (102 cases - TEM, 54 cases - TME). We excluded 10 patients from the TEM group due to salvage surgery. Duration of TEM was 40.0 (34; 50) min, TME - 139 (120; 180) min (=0.00001). Postoperative hospital-stay was also significantly less in the TEM group (7 (6; 9) vs. 10 (7; 11) days, =0.00001). Six (6.5%) patients in the TEM group and 1 (1.8%) patient in the TME group developed a local recurrence in pelvic cavity (=0.1). There were no distant metastases. Disease-free 3-year survival was 92% after TEM and 96% after TME (=0.058).
[CONCLUSION] Transanal endoscopic microsurgery is a relatively safe alternative to total mesorectal excision for early rectal cancer.
[MATERIAL AND METHODS] A retrospective non-randomized comparative study included 2 groups of patients: group 1 - total mesorectal excision, group 2 - transanal endoscopic microsurgery. In the second group, total mesorectal excision was proposed for patients with tumor invasion depth pT1sm3 and/or lymphovascular invasion and/or low differentiation. If total mesorectal excision was performed as a salvage surgery, the patient was excluded from further analysis.
[RESULTS] There were 156 patients with rectal adenocarcinoma pT1 between October 2011 and August 2019 (102 cases - TEM, 54 cases - TME). We excluded 10 patients from the TEM group due to salvage surgery. Duration of TEM was 40.0 (34; 50) min, TME - 139 (120; 180) min (=0.00001). Postoperative hospital-stay was also significantly less in the TEM group (7 (6; 9) vs. 10 (7; 11) days, =0.00001). Six (6.5%) patients in the TEM group and 1 (1.8%) patient in the TME group developed a local recurrence in pelvic cavity (=0.1). There were no distant metastases. Disease-free 3-year survival was 92% after TEM and 96% after TME (=0.058).
[CONCLUSION] Transanal endoscopic microsurgery is a relatively safe alternative to total mesorectal excision for early rectal cancer.
추출된 의학 개체 (NER)
시술
미세수술 ×4
합병증
pelvic cavity
전체 NER 표 보기
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | microsurgery
|
미세수술 | dict | 4 | |
| 기법 | endoscopic
|
내시경 | dict | 4 | |
| 합병증 | pelvic cavity
|
scispacy | 1 | ||
| 약물 | TME
→ total mesorectal excision
|
C1273428
Total mesorectal excision
|
scispacy | 1 | |
| 약물 | [MATERIAL AND METHODS] A
|
scispacy | 1 | ||
| 질환 | adenocarcinoma
|
C0001418
Adenocarcinoma
|
scispacy | 1 | |
| 질환 | cancer
|
C0006826
Malignant Neoplasms
|
scispacy | 1 | |
| 질환 | tumor
|
C0027651
Neoplasms
|
scispacy | 1 | |
| 질환 | rectal adenocarcinoma
|
C0149978
Adenocarcinoma of rectum
|
scispacy | 1 | |
| 질환 | rectal cancer
|
C0007113
Rectal Carcinoma
|
scispacy | 1 | |
| 질환 | rectal adenocarcinoma pT1
|
scispacy | 1 | ||
| 기타 | submucosal
|
scispacy | 1 | ||
| 기타 | lymphovascular
|
scispacy | 1 |
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