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. 1999 Oct 3;140(40):2215-9.

[Surgical management of villous and tubulovillous adenomas of the rectum]

[Article in Hungarian]
A Nagy  1 , T Kovács, C Berki, Z Jánó
Affiliations
  • PMID: 10540895

[Surgical management of villous and tubulovillous adenomas of the rectum]

[Article in Hungarian]
A Nagy et al. Orv Hetil. .

Abstract

One hundred four cases of middle and low rectal villous and tubulovillous adenomas have been operated on with transanal polypectomy (8), transanal endoscopic microsurgery--TEM (80), anterior rectum resection with double stapled straight sigmoideorectosomy (7), and deep rectum resection, bi-directional mucosectomy and hand sutured straight sigmoideoanostomy (9). The option of the authors to remove the tumours in 5 cm to the dentate line are the transanal polypectomy or transanal mucosectomy corresponding to their size. The transanal endoscopic microsurgical technic is recommended to manage the polyps smaller than 4 to 5 cm in the middle rectum. The best radicallity in removal of the circular, extended villous adenomas could be achieved with deep rectum resection, bi-directional mucosectomy and transanal straight, hand sewn sigmoideoanostomy.

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