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Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: Volume 15, book 1, 2009
Subject Collection: Medicine
Page: 32 - 35
DOI: 10.5272/jimab.1512009_32
Online date: June 23, 2009
New trends in rectal cancer surgery. Case of
the practice
V. Ignatov, A. Tonev, N. Kolev, Krassimir
Ivanov
I-st Clinic of Surgery, University Hospital “St. Marina”
Medical University of Varna, Bulgaria
SUMMARY: BACKGROUND: Sphincter preservation, disease
control, and long-term survival are the main goals in the treatment of
rectal cancer. Although transanal local excision is attractive because
it is a sphincter sparing procedure, some contradictory data exist in
the literature about its ability to locally control disease and provide
overall survival comparable with radical procedures, even for patients
with early stage tumor. In patients with early rectal cancer (T1), local
excision may be an alternative approach in highly selected patiients.
For more advanced rectal cancer, radical surgical resection is the treatment
of choice. METHODS: We reviewed the literature to identify the current
recurrence and survival rates of both techniques as well as the salvage
surgery success, only 1 study was prospective, 5 were comparative, and
5 were case reports. We present a case report of a woman with local excision
of rectal tumor. Five years later a rectal recurrence has showed up. We
describe the case and make some conclusions.
Page: 32-35; FULL TEXT PDF (228 KB)