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We retrospectively analysed all TEM and TEM-ESD procedures that took place in Surgical Clinic of the Municipal Hospital of Karlsruhe and the Surgery Department of the University Hospital of Mannheim from 2007 to 2021. We evaluated the periopüerative and long-term outcomes of both procedures for adenomas, adenocarcinomas and other tumours seperately and we compared the results between the two techniques.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TEM-Group | All patients that underwent TEM |
| |
| TEM-ESD-Group | All patients that underwent TEM-ESD |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TEM / TEM-ESD | Procedure | Transanal local excision of a rectal tumour as a conventional, full-thickness TEM or submucosal dissection as TEM-ESD |
|
| Measure | Description | Time Frame |
|---|---|---|
| Local recurrence | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| en bloc resection | 5 years | |
| complete en bloc resection | 5 years | |
| procedure time |
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Inclusion Criteria:
Exclusion Criteria:
-
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We analysed all patients who underwent TEM or TEM-ESD in our centers between 2007 and 2021
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Mannheim | Recruiting | Mannheim | Baden-Wurttemberg | 68167 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35652960 | Derived | Kouladouros K, Baral J. Transanal endoscopic microsurgical submucosal dissection (TEM-ESD) for rectal adenomas: a retrospective cohort study of 145 consecutive cases. Langenbecks Arch Surg. 2022 Sep;407(6):2423-2430. doi: 10.1007/s00423-022-02562-0. Epub 2022 Jun 2. |
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| 5 years |
| perioperative morbidity | 5 years |
| long-term adverse events | 5 years |
| survival | 5 years |