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
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