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Excision of malignant and pre-malignant rectal lesions by transanal endoscopic microsurgery in patients under 50 years of age

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World Journal of Gastrointestinal Surgery 2023年第9期15卷 1892-1900页

作者： Dafna Shilo Yaacobi Yael Berger tali shaltiel Eliahu Y Bekhor Muhammad Khalifa Nidal Issa Department of Plastic Surgery&Burns Rabin Medical CenterPetah Tikva 4941492Israel Department of Surgery Rabin Medical Center-Hasharon HospitalPetah Tikva 4941492Israel

BACKGROUND The most common technique for treating benign and early malignant rectal lesions is transanal endoscopic microsurgery(TEM).Local excision is an acceptable technique for high-risk and elderly patients,but there are hardly any data regarding young *** To describe TEM outcomes in patients under 50 years of *** We collected demographic,clinical,and pathological data from all patients under the age of 50 years who underwent the TEM procedure at Hasharon Rabin Medical Center from January 2005 to December *** During the study period,a total of 26 patients under the age of 50 years underwent TEM *** mean age was 43.3 ***(42.0%)were *** mean operative time was 67 min,and the mean tumor size was 2.39 cm,with a mean anal verge distance of 8.50 *** major intraoperative or postoperative complications were *** median length of stay was 2 ***(26.9%)lesions were adenomas with low-grade dysplasia,four(15.4%)were high-grade dysplasia adenomas,two were T1 carcinomas(7.8%),and three were T2 carcinomas(11.5%).No residual disease was found following endoscopic polypectomy in two patients(7.8%),but four(15.4%)had other *** margins were negative in all *** recurrence was detected in one patient 33 mo following *** Among young adult patients,TEM for benign rectal lesions has excellent *** may also offer a balance between the efficacy of complete oncologic resection and postoperative quality of life in the treatment of rectal *** some cases,it may be considered an alternative to radical surgery.

关键词： Transanal endoscopic microsurgery Young adults Rectal lesions Benign lesions Malignant lesions Radical surgery alternative

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