Salvage surgery after endoscopic treatment for early rectal cancer

VernacularTitle:早期直肠癌内镜治疗术后补救性手术的临床分析
Author: Shiduo SONG ¹ ; Youyuan TANG ; Linhua JIANG ; Xinguo ZHU
Author Information

1. 苏州大学附属第一医院普通外科，苏州　215006
Keywords: Rectal neoplasms; Endoscopy; Surgical procedures, operative
From: Chinese Journal of General Surgery 2023;38(12):931-933
CountryChina
Language:Chinese
Abstract: Objective:To explore the necessity of salvage surgery after endoscopic resection of early rectal cancer.Methods:The clinical data of 62 patients who underwent salvage surgery for early rectal cancer at the First Affiliated Hospital of Soochow University from Jan 2012 to Dec 2021 were retrospectively analyzed.Results:Six cases (10%) had residual tumors, 8 cases (13%) had lymph node metastasis and one case (2%) had cancer nodules; The operation time was (178±82) mins; 1 case (2%) developed anastomotic lerakage, which was cured; 2 cases (3%) developed intestinal obstruction, of which 1 case (2%) relieved on conservative management and 1 case (2%) underwent reoperation.Conclusion:It is necessary to perform salvage surgery for early rectal cancer patients with residual caner and risk factors of lymph node metastasis after endoscopic therapy.