000165855 001__ 165855
000165855 005__ 20260115140311.0
000165855 0247_ $$2doi$$a10.1046/j.1463-1318.2002.00293.x
000165855 0248_ $$2sideral$$a136065
000165855 037__ $$aART-2002-136065
000165855 041__ $$aeng
000165855 100__ $$0(orcid)0000-0001-7964-1166$$aRamirez, J.M.
000165855 245__ $$aTransanal full-thickness excision of rectal tumours: should the defect be sutured? a randomized controlled trial
000165855 260__ $$c2002
000165855 5203_ $$aPurpose
It is generally recommended that the defect, after full thickness total wall excision of a tumour located in the extraperitoneal part of the rectum, should be sutured. There is a lack of controlled studies however, supporting this approach. The aim of this study was to compare the results obtained in patients after peranal local excision of rectal tumours whose defect were sutured with those that were not.
Methods
44 patients were prospectively randomized to group A: The defect is closed; Group B: Defect left un-sutured. Pre-operative test were digital examination, proctoscopy and endorectal ultrasound. Local full-thickness excision was performed mainly with the Transanal Endoscopic Microsurgery (TEM) equipment, but for cases near the anal verge a Parks’ retractor was used. Data recorded were operation time, blood loss, hospital stay and early and late complications. The first postoperative assessment was planned at 1 month and then every three months until 18 months of follow-up. Result for 40 patients (21 from group A; 19 from group B) were analysed. There were no differences between groups regarding age, sex, location of the tumour and specimen’s size.
Results
The intra-operative loss of blood was 22 ml for group A and 39 ml for B, the difference was not significant. The mean operation time was slighter longer for group A (93 min) than for group B (77 min) but not statistically significant. For both group the mean hospital stay was of 4[2–7] days. No differences in early or late complications could be demonstrated.
Conclusion
The present study suggests that there is no difference between these two practices in terms of intra-operative results and outcome.
000165855 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000165855 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000165855 700__ $$0(orcid)0000-0001-5323-2946$$aAguilella, V.$$uUniversidad de Zaragoza
000165855 700__ $$0(orcid)0000-0002-3592-820X$$aArribas, D.
000165855 700__ $$0(orcid)0000-0001-6506-7386$$aMartinez, M.$$uUniversidad de Zaragoza
000165855 7102_ $$11004$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Cirugía
000165855 773__ $$g4, 1 (2002), 51-55$$pColorectal Disease$$tColorectal Disease$$x1462-8910
000165855 8564_ $$s60829$$uhttps://zaguan.unizar.es/record/165855/files/texto_completo.pdf$$yVersión publicada
000165855 8564_ $$s2117794$$uhttps://zaguan.unizar.es/record/165855/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000165855 909CO $$ooai:zaguan.unizar.es:165855$$particulos$$pdriver
000165855 951__ $$a2026-01-15-12:36:45
000165855 980__ $$aARTICLE