A comparative study on local resection of rectal adenomatous polypus

VernacularTitle:直肠腺瘤性息肉局部切除治疗的对比研究
Author: Tiancheng ZHAO ; Bin ZHANG
Publication Type:Journal Article
Keywords: Rectal neoplasms; Adenoma; Local resection; Microsurgery
From: Chinese Journal of Digestive Endoscopy 2014;31(4):198-201
CountryChina
Language:Chinese
Abstract: Objective To compare the therapeutic effects of endoscopy,TEM,and transanal local resection in rectal adenomatous polyps.Methods Data of 195 patients with rectal adenomatous polypus,who underwent either endoscopic resection (EMR,ESD and conventional endoscopic resection,n =65),TEM (n =65) or transanal local resection (n =65) in the past two years (2009-2011) were retrospectively collected and analyzed.Results Distance from lesion to anus in endoscopic group was significantly longer than that in transanal group (P ＜ 0.05).Bleeding volume during the procedure in transanal group was significantly larger than that in endoscopic group (P ＜ 0.05).The operation time and hospitalization time in endoscopic group were significantly shorter than those in TEM group and transanal group (P ＜ 0.01).The total cost in endoscopic group was significantly lower than that in other 2 groups (P ＜ 0.01).Conclusion Endoscopic resection is a safe and effective therapy for rectal adenomatous polypus.