Kim Sung Hoo, Yang Dong Hoon, Lim Seok-Byung
Department of Colon and Rectal Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Asian J Endosc Surg. 2019 Apr;12(2):178-180. doi: 10.1111/ases.12601. Epub 2018 May 23.
Endoscopic submucosal dissection is an effective procedure for treating non-invasive colorectal tumors. However, in cases of severe fibrosis, endoscopic submucosal dissection may be technically difficult, leading to incomplete resection. Here, we describe the case of a 74-year-old man who had early rectal cancer along with severe submucosal fibrosis caused by prior local excision. Combination treatment with endoscopic submucosal dissection and transanal minimally invasive surgery successfully enabled complete resection.
内镜下黏膜下剥离术是治疗非侵袭性结直肠肿瘤的有效方法。然而，在严重纤维化的病例中，内镜下黏膜下剥离术在技术上可能具有挑战性，导致切除不完全。在此，我们报告一例74岁男性患者，其患有早期直肠癌并伴有先前局部切除所致的严重黏膜下纤维化。内镜下黏膜下剥离术与经肛门微创手术联合治疗成功实现了完整切除。
