Journal article

Submucosal dissection has advantages over full-thickness transanal endoscopic microsurgery in selected rectal lesions.

Kiryu Yap, Sarah Mills, Michelle Thomas, James Moore

ANZ J Surg | Published : 2017

Abstract

BACKGROUND: To establish the incidence of unsuspected malignancy in lesions excised through transanal endoscopic microsurgery (TEM) and examine the justification for full-thickness excision of all lesions thought to be benign pre-operatively. METHODS: Demographic, operative and pathology data of all patients undergoing TEM at a single institution were collected in a prospectively maintained database. Follow-up data were collected with a focus on polyp recurrence rates and outcome in patients found to harbour malignancy. For lesions thought to be benign pre-operatively, a submucosal excision was routinely performed. RESULTS: TEM was attempted in 156 cases between June 1999 and April 2013. Mea..

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