Local Excision of Rectal Cancer

Daniel Owen Young; Anjali S Kumar

doi:10.1016/j.suc.2017.01.007

Local Excision of Rectal Cancer

Surg Clin North Am. 2017 Jun;97(3):573-585. doi: 10.1016/j.suc.2017.01.007.

Authors

Daniel Owen Young¹, Anjali S Kumar²

Affiliations

¹ Colorectal Surgery Program, Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, 1100 9th Avenue Seattle, WA 98101, USA.
² Colorectal Surgery Program, Section of General, Thoracic, and Vascular Surgery, Virginia Mason Medical Center, 1100 9th Avenue Seattle, WA 98101, USA. Electronic address: askumarmd@gmail.com.

PMID: 28501248
DOI: 10.1016/j.suc.2017.01.007

Abstract

Local excision (LE) of early-stage rectal cancer avoids the morbidity associated with radical surgery but has historically been associated with inferior oncologic outcomes. Newer techniques, including transanal endoscopic microsurgery (TEM) and transanal minimally invasive surgery (TAMIS), have been developed to improve the quality of LE and extend the benefits of LE to tumors in the more proximal rectum. This article provides an overview of conventional LE, TEM, and TAMIS techniques, including indications for their use and pertinent literature on their associated outcomes for rectal cancer.

Keywords: Local excision; Rectal cancer; TAMIS; TEM.

Publication types

Review

MeSH terms

Colorectal Surgery / methods*
Humans
Minimally Invasive Surgical Procedures*
Neoadjuvant Therapy
Rectal Neoplasms / surgery*
Rectal Neoplasms / therapy
Rectum / surgery
Transanal Endoscopic Microsurgery
Transanal Endoscopic Surgery* / methods