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

被引：20
|
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
  • [31] Risk factors of recurrence in T1 colorectal cancers treated by endoscopic resection alone or surgical resection with lymph node dissection
    Yuta Kouyama
    Shin-ei Kudo
    Hideyuki Miyachi
    Katsuro Ichimasa
    Shingo Matsudaira
    Masashi Misawa
    Yuichi Mori
    Toyoki Kudo
    Takemasa Hayashi
    Kunihiko Wakamura
    Fumio Ishida
    Shigeharu Hamatani
    International Journal of Colorectal Disease, 2018, 33 : 1029 - 1038
  • [32] Risk factors of recurrence in T1 colorectal cancers treated by endoscopic resection alone or surgical resection with lymph node dissection
    Kouyama, Yuta
    Kudo, Shin-ei
    Miyachi, Hideyuki
    Ichimasa, Katsuro
    Matsudaira, Shingo
    Misawa, Masashi
    Mori, Yuichi
    Kudo, Toyoki
    Hayashi, Takemasa
    Wakamura, Kunihiko
    Ishida, Fumio
    Hamatani, Shigeharu
    INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2018, 33 (08) : 1029 - 1038
  • [33] Delayed Bleeding After Endoscopic Resection of Colorectal Polyps: Identifying High-Risk Patients
    Bendall, Oliver
    James, Joel
    Pawlak, Katarzyna M.
    Ishaq, Sauid
    Tau, J. Andy
    Suzuki, Noriko
    Bollipo, Steven
    Siau, Keith
    CLINICAL AND EXPERIMENTAL GASTROENTEROLOGY, 2021, 14 : 477 - 492
  • [34] RECURRENCE AFTER LOCAL SURGICAL RESECTION OF T1 RECTAL CANCER: A META-ANALYSIS AND COMPARISON WITH ENDOSCOPIC RESECTION
    Dekkers, Nik
    Dang, Hao
    van der Kraan, Jolein
    Le Cessie, Saskia
    Oldenburg, Philip P.
    Schoones, Jan W.
    Langers, Alexandra M.
    Van Leerdam, Monique
    Van Hooft, Jeanin E.
    Backes, Yara
    Levic, Katarina
    Meining, Alexander
    Saracco, Giorgio
    Holman, Fabian A.
    Peeters, Koen
    Moons, L. M. G.
    Doornebosch, Pascal G.
    Hardwick, James
    Boonstra, Jurjen
    GASTROINTESTINAL ENDOSCOPY, 2022, 95 (06) : AB140 - AB140
  • [35] Long-term outcomes after endoscopic versus surgical resection of T1 colorectal carcinoma
    Bae, Hyun Jin
    Ju, Hoyeon
    Lee, Han Hee
    Kim, Jinsu
    Lee, Bo-In
    Lee, Sung Hak
    Won, Daeyoun David
    Lee, Yoon Suk
    Lee, In Kyu
    Cho, Young-Seok
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2023, 37 (02): : 1231 - 1241
  • [36] Long-term outcomes after endoscopic versus surgical resection of T1 colorectal carcinoma
    Hyun Jin Bae
    Hoyeon Ju
    Han Hee Lee
    Jinsu Kim
    Bo-In Lee
    Sung Hak Lee
    Daeyoun David Won
    Yoon Suk Lee
    In Kyu Lee
    Young-Seok Cho
    Surgical Endoscopy, 2023, 37 : 1231 - 1241
  • [37] Long-term outcomes of endoscopic or surgical resection in T1 colorectal cancer patients: a retrospective cohort study
    Song, Shibo
    Dou, Lizhou
    Zhang, Yueming
    Liu, Xudong
    Liu, Yong
    He, Shun
    Wang, Guiqi
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2024, 38 (3): : 1499 - 1511
  • [38] Long-term outcomes of endoscopic or surgical resection in T1 colorectal cancer patients: a retrospective cohort study
    Shibo Song
    Lizhou Dou
    Yueming Zhang
    Xudong Liu
    Yong Liu
    Shun He
    Guiqi Wang
    Surgical Endoscopy, 2024, 38 : 1499 - 1511
  • [39] Surveillance after endoscopic and surgical resection of colorectal cancer
    Sekiguchi, Masau
    Matsuda, Takahisa
    Saito, Yutaka
    BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 2016, 30 (06) : 959 - 970
  • [40] 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
12345