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
  • [41] Periprocedural adverse events after endoscopic resection of T1 colorectal carcinomas
    van de Ven, Steffi E. M.
    Backes, Yara
    Hilbink, Mirrian
    Seerden, Tom C. J.
    Kessels, Koen
    Cappel, Wouter H. de Vos tot Nederveen
    Groen, John N.
    Wolfhagen, Frank H. J.
    Geesing, Joost M. J.
    ter Borg, Frank
    van Bergeijk, Jeroen
    Spanier, B. W. M.
    Mundt, Marco W.
    Pullens, H. J. M.
    Boonstra, Jurjen J.
    Opsteeg, Bart
    van Lent, Anja U. G.
    Schrauwen, Ruud W. M.
    Lacle, Miangela M.
    Moons, Leon M. G.
    Droste, Jochim S. Terhaar Sive
    GASTROINTESTINAL ENDOSCOPY, 2020, 91 (01) : 142 - +
  • [42] HIGH INCIDENCE OF METACHRONOUS ADVANCED ADENOMA AND CANCER AFTER ENDOSCOPIC RESECTION OF T1 CANCER
    Inoue, Ken
    Yoshida, Naohisa
    Yasuda, Ritsu
    Sugino, Satoshi
    Hirose, Ryohei
    Dohi, Osamu
    Naito, Yuji
    Murakami, Takaaki
    Inada, Yutaka
    Morinaga, Yukiko
    Kishimoto, Mitsuo
    Rani, Rafiz Abdul
    Itoh, Yoshito
    GASTROINTESTINAL ENDOSCOPY, 2020, 91 (06) : AB442 - AB442
  • [43] Risk and Time Pattern of Recurrences After Local Endoscopic Resection of T1 Colorectal Cancer: A Meta-analysis
    Dang, Hao
    Dekkers, Nik
    le Cessie, Saskia
    van Hooft, Jeanin E.
    van Leerdam, Monique E.
    Oldenburg, Philip P.
    Flothuis, Louis
    Schoones, Jan W.
    Langers, Alexandra M. J.
    Hardwick, James C. H.
    van der Kraan, Jolein
    Boonstra, Jurjen J.
    CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2022, 20 (02) : E298 - E314
  • [44] Investigation of vertical margin involvement in endoscopic resection for T1 colorectal cancer
    Kano, Yuki
    Yamamoto, Yoichi
    Ikematsu, Hiroaki
    Sasabe, Maasa
    Minakata, Nobuhisa
    Watanabe, Takashi
    Yamashita, Hiroki
    Mitsui, Tomohiro
    Inaba, Atsushi
    Sunakawa, Hironori
    Nakajo, Keiichiro
    Murano, Tatsuro
    Kadota, Tomohiro
    Shinmura, Kensuke
    Yano, Tomonori
    DIGESTIVE ENDOSCOPY, 2024, 36 (04) : 455 - 462
  • [45] T1 colorectal cancer management in the era of minimally invasive endoscopic resection
    Jiang, Shirley Xue
    Zarrin, Aein
    Shahidi, Neal
    WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY, 2024, 16 (06) : 2284 - 2294
  • [46] LONG-TERM OUTCOMES AND SURVIVAL AFTER ENDOSCOPIC OR SURGICAL RESECTION FOR T1 COLORECTAL CANCER: A MULTICENTER RETROSPECTIVE STUDY
    Tanaka, Hirohito
    Kuribayashi, Shiko
    Sekiguchi, Masanori
    Iwamoto, Atsuo
    Hachisu, Yoko
    Fukai, Yasumori
    Nakayama, Tetsuo
    Furuya, Kensuke
    Masuda, Tomoyuki
    Takahashi, Kazuhiro
    Marubashi, Kyoko
    Uraoka, Toshio
    GASTROINTESTINAL ENDOSCOPY, 2021, 93 (06) : AB86 - AB86
  • [47] Cost comparisons of endoscopic and surgical resection of stage T1 rectal cancer
    Arthursson, Victoria
    Rosen, Roberto
    Norlin, Jenny M.
    Gralen, Katarina
    Toth, Ervin
    Syk, Ingvar
    Thorlacius, Henrik
    Ronnow, Carl-Fredrik
    ENDOSCOPY INTERNATIONAL OPEN, 2021, 09 (10) : E1512 - E1519
  • [48] Refining Risk Criteria May Substantially Reduce Unnecessary Additional Surgeries after Local Resection of T1 Colorectal Cancer
    de Juan, Fernando Martinez
    Navarro, Samuel
    Machado, Isidro
    CANCERS, 2024, 16 (13)
  • [49] Management of colorectal T1 carcinoma treated by endoscopic resection
    Saitoh, Yusuke
    Inaba, Yuhei
    Sasaki, Takahiro
    Sugiyama, Ryuji
    Sukegawa, Ryuji
    Fujiya, Mikihiro
    DIGESTIVE ENDOSCOPY, 2016, 28 (03) : 324 - 329
  • [50] Artificial intelligence-assisted treatment strategy for T1 colorectal cancer after endoscopic resection
    Ichimasa, Katsuro
    Kudo, Shin-ei
    Lee, Jonathan Wei Jie
    Nemoto, Tetsuo
    Yeoh, Khay Guan
    GASTROINTESTINAL ENDOSCOPY, 2023, 97 (06) : 1148 - 1152
12345