A preliminary report on endoscopic transanal resection of the rectum.

G Fischer
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引用次数: 0

Abstract

Since 1986 we have performed 62 endoscopic transanal resections (TAR) on 43 patients with malignant or benign tumours. Initially a transurethral resectoscope was used, and later the recently developed rectal resectoscope was introduced, enabling diathermy resection of a rectal lesion growing into the lumen of the rectum and making it possible to take the resection level up to or below the level of the muscularis propria. The wound is left to epithelialise spontaneously. 32 patients with malignant lesions of the rectum underwent TAR. The aim was to palliate symptoms and avoid colostomy. 11 patients with benign tumours (8 adenomas, 2 polyps, 1 stricture) also underwent TAR. No patient died within 25 days of operation. TAR is a minimally invasive procedure. It is quick, safe and effective if performed caudal to the peritoneal reflection fold.

内镜下经肛门直肠切除术的初步报道。
自1986年以来,我们已经对43例恶性或良性肿瘤患者进行了62例经肛门内镜切除术(TAR)。最初使用经尿道切除镜,后来引入了最近发展的直肠切除镜,可以对生长在直肠腔内的直肠病变进行透热切除,使切除水平达到或低于固有肌层水平成为可能。让伤口自然地形成表皮。32例直肠恶性病变行TAR。目的是缓解症状,避免结肠造口术。11例良性肿瘤(8例腺瘤,2例息肉,1例狭窄)也行TAR治疗。手术25天内无患者死亡。TAR是一种微创手术。如果在腹膜反射褶尾侧进行,是快速、安全、有效的。
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