How to Cite
Abstract
The aim of the study was to evaluate the effectiveness of endoscopic submucosal dissection for early colorectal cancer. From 2014 to 2020 at the N.N. Petrov National Medical Research Centre of Oncology, 165 patients with stage cTis-T1N0M0 colorectal cancer were treated by endoscopic submucosal dissection, including 103 women and 62 men aged from 29 to 89 years (mean age 64 years). A single block resection was achieved in all cases, regardless of size and location. Intra- and early postoperative complications were observed in 14 (8.4%) patients, there was no postoperative mortality. In the presented study, endoscopic submucosal dissection showed technical success in 100% of cases, with a risk of postoperative complications of 4.2% and appeared curative in 80.7% of cases. Thus, this technique can be recommended for the treatment of early colorectal cancer due to its high efficiency and safety.
References
Щаева С.Н. Экстренные резекционные вмешательства у больных осложненным раком правой и левой половины ободочной кишки: отдаленные результаты // Онкологическая колопроктология. 2019;9(2):38–46. doi:10.17650/2220-3478-2018-8-2-46-54 [Schaeva S.N. Emergency resections in patients with complicated right and left-sided colon cancer: long-term outcomes // Pelvic Surgery and Oncology. 2018;8(2):46–54. (In Russ.)]. doi:10.17650/2220-3478-2018-8-2-46-54
Каприн А.Д., Старинский В.В., Петрова Г.В. Состояние онкологической помощи населению России в 2017 году. М.: МНИОИ им. П.А. Герцена — филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2018. ISBN 978-5-85502-237-7 [Kaprin A.D., Starinsky V.V., Petrova G.V. The state of oncological assistance to the population of Russia in 2017 M.: MNIOI im. P.A. Gertsena — filial FGBU «NMIC radiologii» Minzdrava Rossii, 2018. ISBN 978-5-85502-237-7 (In Russ.)].
Карасев И.А., Перфильев И.Б., Мазуров С.Т., Поддубный Б.К. Комплексное применение эндоскопических методов в диагностике ранних форм рака толстой кишки // Онкологическая колопроктология. 2013;2:40–45. doi: https://doi.org/10.17650/2220-3478-2013-0-2-42-47 [Karasyov I.B., Perfilyev S.T., Mazurov B.K., PoddubnyN.N. Combined use of endoscopic techniques in the diagnosis of early colonic cancer // Oncologicheskaya coloproctologia. 2013;2:40–45 (In Russ.)]. doi:10.17650/2220-3478-2013-0-2-42-47
Roelandt P, Demedts I, Willekens H et al. Impact of endoscopy system, high definition, and virtual chromoendoscopy in daily routine colonoscopy: a randomized trial // Endoscopy. 2019;51:237–243. doi:10.1055/a-0755-7471
Brown SR, Baraza W, Din S, Riley S. Chromoscopy versus conventional endoscopy for the detection of polyps in the colon and rectum // Cochrane Database Syst Rev. 2016;4:CD006439. doi:10.1002/14651858.CD006439.pub4
Kahi CJ, Anderson JC, Waxman I et al. High-definition chromocolonoscopy vs. high-definition white light colonoscopy for average-risk colorectal cancer screening // Am J Gastroenterol. 2010;105(6):1301–7. doi: 10.1038/ajg.2010.51
Kudo S, Tamura S, Nakajima T et al. Diagnosis of colorectal tumorous lesions by magnifying endoscopy // Gastrointest Endosc. 1996;44:8–14.
Malmstrom ML, Saftoiu A, Vilmann P et al. Endoscopic ultrasound for staging of colonic cancer proximal to the rectum: A systematic review and meta-analysis // Endosc Ultrasound. 2016;5(5):307–314. doi:10.4103/2303-9027.191610
Chan BPH, Patel R, Mbuagbaw L et al. EUS versus magnetic resonance imaging in staging rectal adenocarcinoma: a diagnostic test accuracy meta-analysis // Gastrointestinal Endoscopy. 2019;90(2):196-203.e1. doi:10.1016/j.gie.2019.04.217
Glynne-Jones R, Wyrwicz L, Tiret E et al. ESMO Guidelines Committee. Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up // Ann Oncol. 2017;28(suppl_4):iv22–iv40. doi:10.1093/annonc/mdx224
Japanese Society for Cancer of the Colon and Rectum. Japanese Classification of Colorectal, Appendiceal, and Anal Carcinoma: the 3d English Edition [Secondary Publication] // J Anus Rectum Colon. 2019;3(4):175–195. doi:10.23922/jarc.2019-018
Федянин М.Ю., Ачкасов С.И., Болотина Л.В. и др. Практические рекомендации по лекарственному лечению рака ободочной кишки и ректосигмоидного соединения // Злокачественные опухоли: Практические рекомендации RUSSCO. 2019;9:324–364. doi:10.18027 / 2224-5057-2020-10-3s2-22 [Fedyanin MU, Achkasov SI, Bolotina LV et al. Practical guidelines for drug treatment of colon and rectosigmoid cancer // Malignant tumors: practical guidelines RUSSCO. 2019;9:324–364 (In Russ.)]. doi:10.18027 / 2224-5057-2020-10-3s2-22
The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002 // Gastrointest Endosc. 2003;58(6 Suppl):S3–43. doi: 10.1016/s0016-5107(03)02159-x
Endoscopic Classification Review Group. Update on the Рaris classification of superficial neoplastic lesions in the digestive tract // Endoscopy. 2005;37(6):570–8. doi:10.1055/s-2005-861352
Kudo S, Lambert R, Allen J et al. Nonpolypoid neoplastic lesions of the colorectal mucosa // Gastrointest Endosc. 2008;68:S3–S47. doi:10.1016/j.gie.2008.07.052
Bogie RMM, Veldman MHJ, Snijders LARS et al. Endoscopic subtypes of colorectal laterally spreading tumors (LSTs) and the risk of submucosal invasion: a meta-analysis // Endoscopy. 2018;50(3):263-282. doi: 10.1055/s-0043-121144
Brierley JD, Gospodarowicz MK, Wittekind C. (eds). TNM Classification of Malignant Tumours, 8th edition. Oxford: John Wiley & Sons, Inc., 2016. ISBN:978-1-119-26357-9
Ассоциация онкологов России. Российские рекомендации по лечению рака ободочной кишки и ректосигмоидного отдела, 2017. Министерство здравоохранения Российской Федерации. URL: https://oncology-association.ru/docs/rak_obodochnoy_kishki.pdf [Russia oncology association. Russian Recommendations for the Treatment of Colorectal and Rectosigmoid Cancer, 2017. Minesterstvo zdravoohranenia Rossiyskoy Federatsii. (In Russ.)]. URL: https://oncology-association.ru/docs/rak_obodochnoy_kishki.pdf
Ассоциация онкологов России. Российские рекомендации по лечению рака прямой кишки 2017. Министерство здравоохранения Российской Федерации. URL:https://oncology-association.ru/docs/rak_pryamoy_kishki.pdf [Russia oncology association. Russian Recommendations for the Treatment of Colorectal and Rectosigmoid Cancer, 2017. Minesterstvo zdravoohranenia Rossiyskoy Federatsii. (In Russ.)]. URL:https://oncology-association.ru/docs/rak_pryamoy_kishki.pdf
Kikuchi R, Takano M, Takagi K et al. Management of early invasive colorectal cancer. Risk of recurrence and clinical guidelines // Dis. Colon Rectum. 1995;38(12):1286–95. doi: 10.1007/bf02049154
Hashiguchi Y, Muro K, Saito Y et al. Japanese Society for Cancer of the Colon and Rectum. Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2019 for the treatment of colorectal cancer // Int J Clin Oncol. 2020;25(1):1–42. doi:10.1007/s10147-019-01485-z
Kitajima K, Fujimori T, Fujii S et al. Correlations between lymph node metastasis and depth of submucosal invasion in submucosal invasive colorectal carcinoma: a Japanese collaborative study // J Gastroenterol. 200;39:534–543 doi:10.1007/s00535-004-1339-4
Morino M, Allaix ME, Caldart M et al. Risk factors for recurrence after transanal endoscopic microsurgery for rectal malignant neoplasm // Surg Endosc. 2011;25(11):3683–90. doi: 10.1007/s00464-011-1777-z
Ueno H, Mochizuki H, Hashiguchi Y et al. Risk factors for an adverse outcome in early invasive colorectal carcinoma // Gastroenterology. 2004;127:385–394. doi: 10.1053/j.gastro.2004.04.022
Ikematsu H, Yoda Y, Matsuda T et al. Long-term outcomes after resection for submucosal invasive colorectal cancers // Gastroenterology. 2013;144:551–559. doi: 10.1053/j.gastro.2012.12.003
Chen T, Qin WZ, Yao LQ et al. Long-term outcomes of endoscopic submucosal dissection for high-grade dysplasia and early-stage carcinoma in the colorectum // Cancer Commun (Lond). 2018;38(1):3. Published 2018 Mar 21. doi:10.1186/s40880-018-0273-4
Kiriyama S, Saito Y, Yamamoto S et al. Comparison of endoscopic submucosal dissection with laparoscopic-assisted colorectal surgery for early-stage colorectal cancer: a retrospective analysis // Endoscopy. 2012;44:1024–30. PMID:23012216 doi:10.1055/s-0032-1310259
Labianca R, Nordlinger B, Beretta GD et al. ESMO Guidelines Working Group. Early colon cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up // Ann Oncol. 2013;24(Suppl 6):vi64–72. doi: 10.1093/annonc/mdt354
Benson AlB, Venook AP, Al-Hawary MM. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) Colon Cancer. Version 2/2019. May 15, 2019. URL: https://www.nccn.org/professionals/physician_gls/pdf/colon.pdf
Benson AlB, Lurie RH, Venook AP, Al-Hawary MM. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) Rectal Cancer. Version 2/2019. May 15, 2019 URL: https://www.nccn.org/professionals/physician_gls/pdf/rectal.pdf
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
© АННМО «Вопросы онкологии», Copyright (c) 2021