ISSN:
1435-604X
Keywords:
Rectosigmoid cancer
;
Rectosigmoid villous adenoma
;
Argon laser
;
Nd-YAG laser
;
Endoscopic treatment
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
,
Physics
,
Technology
Notes:
Abstract The argon and the Nd-YAG lasers were used in the Lille Multidisciplinary Laser Centre for endoscopic destruction of rectosigmoid tumours over a 10 year period in 530 patients. The goal of the treatment was palliation of a rectal cancer (200 patients), palliation of a rectal polyposis after total colectomy (17 patients) and cure of a benign rectosigmoid villous adenoma (313 patients). The initial success and complications rates were, respectively, 88 and 2.7% for rectal cancers, 92 and 2% for villous adenomas and 100 and 0% for rectal polyposis. Average duration of improvement was 10.1 months for advanced rectosigmoid cancers. During a 3.1 years average follow up, the recurrence rate was 14% in patients with a villous adenoma. Immediate results were affected by the reason for treatment, the initial symptoms and the circumferential extension of the tumour base in advanced cancers and only by the circumferential extension in villous adenomas. Long-term results were affected by the reason for treatment and the circumferential extension in advanced cancers and the reason for treatment, initial histology and location in villous adenomas.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02031388
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