Тransanal endoscopic operations in rectal tumors
Objective. To improve diagnosis and results of treatment in patients, suffering rectal tumors, using transanal endoscopic microsurgery and studying of sentinel lymphatic nodes.
Маterials and methods. In 2009 – 2017 yrs in the Clinic transanal endoscopic operations were performed in 115 patients, ageing 29 – 82 yrs old. Tubulo–villous rectal adenoma was in 92 patients, of them in 26 histological investigation of the tumors excised have revealed malignization (TisN0M0). In 23 patients early cancer recti Т1–2N0M0 was revealed preoperatively.
Results. During follow–up 12 – 60 mo the recurrence was revealed in 2 (2.2%) patients, suffering adenoma, and in 3 (13%) – suffering cancer recti. Recurrence of cancer have occurred in patients, who rejected conduction of chemotherapy and radiation therapy.
Conclusion. Іdentification and precise investigation of sentinel lymphatic nodes in patients, suffering cancer recti makes possible a trustworthy (sensitivity=0.89, specificity=0.99) estimation of the disease and application of adequate scheme of combined and complex treatment of the patient.
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