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- W2387160071 abstract "Objective To evaluate the application of pull-through transection and anastomosis for low rectal lateral spreading villous adenoma.Methods Sixty-three patients with low rectal lateral spreading villous adenoma operated in our hospital were retrospectively studied.Among them,28 patients underwent pull-through transection and anastomosis(the pull-through group) and 35 patients underwent transanal local excision(the transanal group).Results All of the 63 patients were preoperatively diagnosed as rectal villous adenoma,and occupied more than 1/2 cycle of the intestinal lumen.Twenty-nine(46.0%) were re-categorized as invasive cancer by postoperative pathological examination(invaded submucosa in 12,invaded muscularis propria in 15 and invaded the whole rectal wall in 2).Two patients had positive mesenteric lymph nodes.Postoperative complications occurred in 3 patients from the pull-through group(anastomotic leakage,wound infection and incomplete intestinal obstruction) and 1 patient from the transanal group(rectal bleeding).No perioperative mortality occurred in both groups.The mean follow-up period was(47.8±18.0)(6-82) months.There were 20 recurrences(57.1%),all from the transanal group.Fifteen of them had multiple recurrences.Two cases had transformed into invasive rectal cancer after multiple recurrences,and underwent Miles procedure eventually.There was still one patient who had multiple lung metastases one year after the last operation.The fecal continence and sexual function were evaluated at 6 months after operation.In the pull-through group,the daily fecal frequency is(4.4±2.2)(2-9) times,with slight fecal incontinence in 5 cases and slight erectile dysfunction in one case.No fecal or sexual impairment occurred in the transanal group.Conclusions The pull-through transection and anastomosis is warranted for low rectal lateral spreading villous adenoma.It is associated with lower recurrence rate,reduced risk of malignancy,less complication and slight disturbance of fecal continence and sexual function." @default.
- W2387160071 created "2016-06-24" @default.
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- W2387160071 date "2012-01-01" @default.
- W2387160071 modified "2023-09-23" @default.
- W2387160071 title "Pull-through transection and anastomosis for low rectal lateral spreading villous adenoma" @default.
- W2387160071 hasPublicationYear "2012" @default.
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