Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma

Benign and malignant tumors are the most common diseases of the rectum and tend to grow. Various techniques have been developed for the treatment of rectal tumors: endoscopic electroexcision through a colonoscope, transanal removal of tumors, and transabdominal removal. The use of all these methods...

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Main Authors: Yu. A. Gevorkyan, N. V. Soldatkina, V. E. Kolesnikov, D. A. Kharagezov, A. V. Dashkov, S. I. Poluektov, N. S. Samoylenko
Format: Article
Language:Russian
Published: ANO "Perspective of oncology" 2021-03-01
Series:Южно-Российский онкологический журнал
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Online Access:https://www.cancersp.com/jour/article/view/106
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author Yu. A. Gevorkyan
N. V. Soldatkina
V. E. Kolesnikov
D. A. Kharagezov
A. V. Dashkov
S. I. Poluektov
N. S. Samoylenko
author_facet Yu. A. Gevorkyan
N. V. Soldatkina
V. E. Kolesnikov
D. A. Kharagezov
A. V. Dashkov
S. I. Poluektov
N. S. Samoylenko
author_sort Yu. A. Gevorkyan
collection DOAJ
description Benign and malignant tumors are the most common diseases of the rectum and tend to grow. Various techniques have been developed for the treatment of rectal tumors: endoscopic electroexcision through a colonoscope, transanal removal of tumors, and transabdominal removal. The use of all these methods made it possible to determine their advantages and indications, as well as limitations and disadvantages. Technical advances in modern oncology resulted in developing a method for transanal tumor removal with a number of advantages: radical surgery, adequacy, and functionality. This technique can be used in benign and malignant rectal tumors. One of its main advantages involves a small number of postoperative complications, while intra- operative complications such as penetration into the free abdominal cavity during transanal endoscopic resection of the rectum are quite rare. It is also important that the method of transanal endoscopic resection of the rectum also has good oncological and functional results (according to various studies). We present a clinical case of penetration into the free abdominal cavity during transanal endoscopic rectal resection for adenoma. This case is also interesting in that the patient also had another complication – postoperative bleeding from the rectum, which required surgical intervention, also with the use of a minimally invasive approach.This clinical observation demonstrates successful suturing of penetrating openings into the abdominal cavity arising during transanal endoscopic removal of rectal tumors with the upper pole located above the pelvic peritoneum and effective minimally invasive tactics in the development of postoperative bleeding.
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issn 2686-9039
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series Южно-Российский онкологический журнал
spelling doaj-art-fda6130bb7cf4b41a90cf42dda54a6112025-08-20T03:42:06ZrusANO "Perspective of oncology"Южно-Российский онкологический журнал2686-90392021-03-0121434910.37748/2686-9039-2021-2-1-533Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenomaYu. A. Gevorkyan0N. V. Soldatkina1V. E. Kolesnikov2D. A. Kharagezov3A. V. Dashkov4S. I. Poluektov5N. S. Samoylenko6National Medical Research Centre for Oncology of the Ministry of Health of RussiaNational Medical Research Centre for Oncology of the Ministry of Health of RussiaNational Medical Research Centre for Oncology of the Ministry of Health of RussiaNational Medical Research Centre for Oncology of the Ministry of Health of RussiaNational Medical Research Centre for Oncology of the Ministry of Health of RussiaNational Medical Research Centre for Oncology of the Ministry of Health of RussiaNational Medical Research Centre for Oncology of the Ministry of Health of RussiaBenign and malignant tumors are the most common diseases of the rectum and tend to grow. Various techniques have been developed for the treatment of rectal tumors: endoscopic electroexcision through a colonoscope, transanal removal of tumors, and transabdominal removal. The use of all these methods made it possible to determine their advantages and indications, as well as limitations and disadvantages. Technical advances in modern oncology resulted in developing a method for transanal tumor removal with a number of advantages: radical surgery, adequacy, and functionality. This technique can be used in benign and malignant rectal tumors. One of its main advantages involves a small number of postoperative complications, while intra- operative complications such as penetration into the free abdominal cavity during transanal endoscopic resection of the rectum are quite rare. It is also important that the method of transanal endoscopic resection of the rectum also has good oncological and functional results (according to various studies). We present a clinical case of penetration into the free abdominal cavity during transanal endoscopic rectal resection for adenoma. This case is also interesting in that the patient also had another complication – postoperative bleeding from the rectum, which required surgical intervention, also with the use of a minimally invasive approach.This clinical observation demonstrates successful suturing of penetrating openings into the abdominal cavity arising during transanal endoscopic removal of rectal tumors with the upper pole located above the pelvic peritoneum and effective minimally invasive tactics in the development of postoperative bleeding.https://www.cancersp.com/jour/article/view/106transanal endoscopic tumor removaltransabdominal removalorgan-preserving treatmentbenign rectal tumorsmalignant rectal tumorsrectal tumors
spellingShingle Yu. A. Gevorkyan
N. V. Soldatkina
V. E. Kolesnikov
D. A. Kharagezov
A. V. Dashkov
S. I. Poluektov
N. S. Samoylenko
Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma
Южно-Российский онкологический журнал
transanal endoscopic tumor removal
transabdominal removal
organ-preserving treatment
benign rectal tumors
malignant rectal tumors
rectal tumors
title Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma
title_full Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma
title_fullStr Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma
title_full_unstemmed Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma
title_short Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma
title_sort penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma
topic transanal endoscopic tumor removal
transabdominal removal
organ-preserving treatment
benign rectal tumors
malignant rectal tumors
rectal tumors
url https://www.cancersp.com/jour/article/view/106
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AT vekolesnikov penetrationintofreeabdominalcavityduringtransanalendoscopicrectalresectionforadenoma
AT dakharagezov penetrationintofreeabdominalcavityduringtransanalendoscopicrectalresectionforadenoma
AT avdashkov penetrationintofreeabdominalcavityduringtransanalendoscopicrectalresectionforadenoma
AT sipoluektov penetrationintofreeabdominalcavityduringtransanalendoscopicrectalresectionforadenoma
AT nssamoylenko penetrationintofreeabdominalcavityduringtransanalendoscopicrectalresectionforadenoma