Abstract:
Objective To evaluate the feasibility and safety of transanal endoscopic resection of rectal stromal tumor.
Methods 39 cases of rectal stromal tumor treated with transanal endoscopic microsurgery (TEM) in our department from January 2013 to December 2018 were retrospectively analyzed. There were 24 male and 15 female, the average age was (57.3±13.1) years old. All the 39 patients were managed by the unified surgical team during operation and perioperative period, and were followed up for 8~68 months.
Result All the rectal stromal tumor in 39 patients were successfully excised by TEM without blood transfusion or laparotomy. The average intraoperative blood loss was (10.4±3.7) ml, and the average operative time was (50.3±9.8) min. No serious complications occurred. The average size of the tumor after resection was (3.3±1.4) cm, and the postoperative pathology confirmed, and the average length of stay was (7.9±2.3) d. During the follow-up period, 1 patient with recurrence and 3 patients with metastasis were found. The TEM was preformed once again in the patient with recurrence and was stable until now. 2 patients with liver metastases was found, 1 patient with bone metastases was occurred, and 2 patients died.
Conclusion TEM is safe and feasible for the treatment of rectal stromal tumor.
Key words:
Rectal stromal tumors,
Transanal endoscopic microsurgery,
Surgical procedures, minimally invasive
Lin Shi, Yanmin Wang, Si Xiong. Clinical analysis of local excision for rectal stromal tumors in 39 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(03): 297-299.