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dc.contributor.author Ács Balázs
dc.contributor.author Szász Attila Marcell
dc.contributor.author Kulka Janina
dc.contributor.author Harsányi László
dc.contributor.author Zaránd Attila
dc.date.accessioned 2016-05-27T07:27:32Z
dc.date.available 2016-05-27T07:27:32Z
dc.date.issued 2014
dc.identifier.citation pagination=329-333; journalVolume=67; journalIssueNumber=6; journalTitle=MAGYAR SEBÉSZET;
dc.identifier.uri http://repo.lib.semmelweis.hu//handle/123456789/2792
dc.identifier.uri doi:10.1556/MaSeb.67.2014.6.2
dc.description.abstract The transanal endoscopic microsurgery (TEM) provides lower relapse and complication rate for the the surgical treatment of the neoplasms of the middle and lower third of the rectum in selected cases. Hence, it can be an alternative method of the conventional approaches, if it does not compromise oncological radicality. The TEM procedure has been started at the 1st Department of Surgery, Semmelweis University in the fall of 2013. In this short study we have evaluated the clinicopathological characteristics of patients undergoing TEM between September 2013 and September 2014. Fourty-four patients were enrolled in our retrospective analysis. 12 patients had low grade adenoma, 14 patients had high grade adenoma, 17 patients had invasive adenocarcinoma, while one was operated for a neuroendocrine tumor. There was no difference in the size of neoplasms between the low and high grade adenomas or adenocarcinomas (p = 0.210), tumors below the size of 30 mm or over 30 mm displayed no significant difference either (p = 0.424). The surgical margins were free of tumor in 41 cases (95.3%). In 13 out of 44 cases the preoperative histology proposed a lower grade neoplasm than the final report (p < 0.001). These results demonstrate that the surgical treatment of large adenomas with TEM technique, which involves excision of the whole bowel wall, is more appropriate than the fractionated removal or polypectomy supplemented by mucosectomy. The pT2 stage tumours might be subjected to the TEM method in selected cases (e.g. following neoadjuvant treatment or palliative care), but this has to be confirmed with prospecively evaluated large series clinical studies which are currently ongoing.
dc.relation.ispartof urn:issn:0025-0295
dc.title Kellően radikális? Transanalis endoscopos mikrosebészeti technika szerepe a rectum daganatainak ellátásában - egy év tapasztalatainak klinikopatologiai értékelése
dc.type Journal Article
dc.date.updated 2015-11-26T10:09:08Z
dc.language.rfc3066 hu
dc.identifier.mtmt 2805358
dc.identifier.pubmed 25500639
dc.contributor.department SE/AOK/I/II. Sz. Patológiai Intézet
dc.contributor.department SE/AOK/K/I. Sz. Sebészeti Klinika
dc.contributor.institution Semmelweis Egyetem


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