Additional Surgical Resection After Endoscopic Resection for Patients With High-risk T1 Colorectal Cancer

被引：21
|
作者：
Iguchi, Kenta [1 ]
Mushiake, Hiroyuki [1 ]
Aoyama, Toru [2 ]
Suwa, Hirokazu [1 ]
Yukawa, Norio [1 ]
Ota, Mitsuyoshi [1 ]
Rino, Yasushi [2 ]
Kunisaki, Chikara [1 ]
Endo, Itaru [3 ]
Masuda, Munetaka [2 ]
机构：
[1] Yokohama City Univ, Gastroenterol Ctr, Dept Surg, Med Ctr, Yokohama, Kanagawa, Japan
[2] Yokohama City Univ, Sch Med, Dept Surg, Yokohama, Kanagawa, Japan
[3] Yokohama City Univ, Sch Med, Dept Gastroenterol Surg, Yokohama, Kanagawa, Japan
来源：
IN VIVO | 2019年 / 33卷 / 04期
关键词：
Colorectal surgery; colorectal neoplasms; endoscopy; LYMPH-NODE METASTASIS; SUBMUCOSAL DISSECTION; COLON-CANCER; CARCINOMA; MANAGEMENT; MORTALITY; COMPLICATIONS; POLYPECTOMY; COLECTOMY; CRITERIA;
D O I：
10.21873/invivo.11596
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Background/Aim: The purpose of this study was to reveal the safety and efficacy of additional surgical resection (ASR) for high-risk T1 colorectal cancer (CRC) after endoscopic resection (ER). Patients and Methods: We retrospectively analyzed 191 patients with high-risk T1 CRC after ER. Results: The ASR was performed in 176 (92.1%) patients and 15 (7.9%) rejected ASR. All patients that underwent ASR experienced RO resection; laparoscopic surgery was performed in 159 (90.3%) patients. Clavien-Dindo complications >= grade II occurred in 33 patients (18.8%). Anastomotic leakage (8.5%) and ileus (5.7%) were the most frequent complications. The anus function was preserved in all patients. Metastatic lymph node was detected in 21 (11.9%) patients. There were no deaths or relapses in patients with ASR. One patient without ASR (6.7%) had a lymph node recurrence. Conclusion: ASR was safe and effective and is recommended for high-risk T1 CRC patients after ER. A satisfactory long-term outcome can be achieved.
引用
收藏
页码：1243 / 1248
页数：6
相关论文
共 50 条
  • [21] HIGH LYMPH NODE YIELD IS ASSOCIATED WITH A DECREASED RISK FOR RECURRENCE AFTER SURGICAL RESECTION OF T1 COLORECTAL CANCER
    Backes, Yara
    Elias, Sjoerd G.
    Bhoelan, Soerajja
    Groen, John N.
    van Bergeijk, Jeroen
    Seerden, Tom
    Pullens, Paul
    Spanier, Marcel
    Geesing, Joost M.
    Kessels, Koen
    Kerkhof, Marjon
    Siersema, Peter D.
    Cappel, Wouter de Vos tot Nederveen
    van Lelyveld, Niels
    Wolfhagen, Frank H.
    ter Borg, Frank
    Offerhaus, Johan
    Lacle, Miangela M.
    Moons, L. M. G.
    GASTROENTEROLOGY, 2017, 152 (05) : S1022 - S1023
  • [22] Resection with En Bloc Removal of Regional Lymph Node after Endoscopic Resection for T1 Colorectal Cancer
    Kobayashi, Hirotoshi
    Higuchi, Tetsuro
    Uetake, Hiroyuki
    Iida, Satoru
    Ishikawa, Toshiaki
    Ishiguro, Megumi
    Sugihara, Kenichi
    ANNALS OF SURGICAL ONCOLOGY, 2012, 19 (13) : 4161 - 4167
  • [23] Risk of recurrence in high-risk T1 colon cancer following endoscopic and surgical resection: registry-based cohort study
    Nilsson, Emelie
    Wetterholm, Erik
    Syk, Ingvar
    Thorlacius, Henrik
    Ronnow, Carl-Fredrik
    BJS OPEN, 2024, 8 (03):
  • [24] “Pathologist-independent” strategy for T1 colorectal cancer after endoscopic resection
    Katsuro Ichimasa
    Shin-ei Kudo
    Jonathan Wei Jie Lee
    Khay Guan Yeoh
    Journal of Gastroenterology, 2022, 57 : 815 - 816
  • [25] Long-Term Outcomes of T1 Colorectal Cancer after Endoscopic Resection
    Park, Eun Young
    Baek, Dong Hoon
    Lee, Moon Won
    Kim, Gwang Ha
    Park, Do Youn
    Song, Geun Am
    JOURNAL OF CLINICAL MEDICINE, 2020, 9 (08) : 1 - 14
  • [26] "Pathologist-independent" strategy for T1 colorectal cancer after endoscopic resection
    Ichimasa, Katsuro
    Kudo, Shin-ei
    Lee, Jonathan Wei Jie
    Yeoh, Khay Guan
    JOURNAL OF GASTROENTEROLOGY, 2022, 57 (10) : 815 - 816
  • [27] Quality of life and fear of cancer recurrence in T1 colorectal cancer patients treated with endoscopic or surgical tumor resection
    Dang, Hao
    Cappel, Wouter H. de Vos Tot Nederveen
    van der Zwaan, Sarita M. S.
    van den Akker-van Marle, M. Elske
    van Westreenen, Henderik L.
    Backes, Yara
    Moons, Leon M. G.
    Holman, Fabian A.
    Peeters, Koen C. M. J.
    van der Kraan, Jolein
    Langers, Alexandra M. J.
    Lijfering, Willem M.
    Hardwick, James C. H.
    Boonstra, Jurjen J.
    GASTROINTESTINAL ENDOSCOPY, 2019, 89 (03) : 533 - 544
  • [28] Qualitative and Quantitative Analysis of Posttreatment Strategy After Endoscopic Resection for Patients with T1 Colorectal Cancer at High Risk of Lymph Node Metastasis
    Yoshitaka Nishikawa
    Takahiro Horimatsu
    Daisuke Nishizaki
    Ayako Kohno
    Akira Yokoyama
    Masahiro Yoshioka
    Koya Hida
    Katsuyuki Sakanaka
    Sachiko Minamiguchi
    Hiroshi Seno
    Yoshiharu Sakai
    Takeo Nakayama
    Journal of Gastrointestinal Cancer, 2020, 51 : 242 - 249
  • [29] Qualitative and Quantitative Analysis of Posttreatment Strategy After Endoscopic Resection for Patients with T1 Colorectal Cancer at High Risk of Lymph Node Metastasis
    Nishikawa, Yoshitaka
    Horimatsu, Takahiro
    Nishizaki, Daisuke
    Kohno, Ayako
    Yokoyama, Akira
    Yoshioka, Masahiro
    Hida, Koya
    Sakanaka, Katsuyuki
    Minamiguchi, Sachiko
    Seno, Hiroshi
    Sakai, Yoshiharu
    Nakayama, Takeo
    JOURNAL OF GASTROINTESTINAL CANCER, 2020, 51 (01) : 242 - 249
  • [30] Long-term outcomes of local resection versus surgical resection for high-risk T1 colorectal cancer: a systematic review and meta-analysis
    Chen, Yuxiang
    Jing, Weina
    Chen, Mo
    Wang, Zhu
    Wu, Junchao
    Yang, Jinlin
    Yang, Li
    Deng, Kai
    GASTROINTESTINAL ENDOSCOPY, 2023, 97 (06) : 1016 - 1030.e14
12345