Transanal and transabdominal combined endoscopic resection of rectal stenosis and anal reconstruction based on transanal endoscopic technique

Background. Endoscopic resection is considered the treatment of choice for type I gastric neuroendocrine neoplasia (gNEN) given its indolent behaviour; however, the favoured endoscopic technique to remove these tumours is not well established. Aims. This systematic review is aimed at investigating the best endoscopic management for type I gNEN. Methods. PubMed Central/Medline and Scopus were systematically searched for records up to August 31, 2020. Results. After screening the 675 retrieved records, 6 studies were selected for the final analysis. The main endoscopic resection techniques described were endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Overall, 112 gNENs were removed by EMR and 77 by ESD. Both techniques showed similar results for complete and en bloc resection (97.4% and 98.7%; 92.3% and 96.3% with ESD and EMR, respectively). ESD was associated with a higher rate of complications than EMR (11.7% vs. 5.4%), but this difference was not statistically significant ( p = 0.17 ). The rates of recurrence during follow-up were 18.2% and 11.5% for EMR and ESD, respectively. Conclusions. To date, there are no sufficient data showing superiority of a given endoscopic technique over others. Both ESD and EMR seem to be effective in the management of type I gNEN, with a relatively low rate of recurrence.

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Percutaneous Full Endoscopic Treatment of Bertolotti Syndrome: A Report of Three Cases with Technical Note

Journal of Neurological Surgery Part A Central European Neurosurgery ◽

10.1055/s-0037-1598173 ◽

2017 ◽

Vol 78 (06) ◽

pp. 566-571 ◽

Cited By ~ 4

Author(s):

Byapak Paudel ◽

Jee Jang ◽

Jeong Choi ◽

Sung Chung ◽

Jung Lee ◽

...

Keyword(s):

Endoscopic Resection ◽

Endoscopic Treatment ◽

Lumbar Vertebra ◽

Transverse Process ◽

Treatment Method ◽

Minimal Invasive ◽

Technical Note ◽

Endoscopic Technique ◽

Leg Pain ◽

Iliolumbar Ligament

Background Bertolotti syndrome is characterized by an abnormal enlargement of the transverse process of the most caudal lumbar vertebra. Most of the time it is asymptomatic, but when it is symptomatic it is associated with low back pain, radiating leg pain, or both. There is no consensus regarding management of this pathology. Open to minimal invasive tubular resection techniques are described in the literature, but a full endoscopic resection technique has not yet been described. Endoscopic technique is a less invasive target-oriented iliolumbar ligament preserving technique. We report our percutaneous full endoscopic technique for the treatment of symptomatic Bertolotti syndrome. Method We have treated three symptomatic cases of Bertolotti syndrome with the percutaneous endoscopic technique. We review the feasibility of this technique and the outcomes. Result Full endoscopic resection of Bertolotti syndrome is feasible and safe with comparable good outcomes and the added benefits of minimal invasive surgery. Conclusion We believe this novel percutaneous full endoscopic technique will yield good results in the hands of expert endoscopic spine surgeons and can be an alternative treatment method in cases of symptomatic Bertolotti syndrome. To our knowledge this is the first report of percutaneous full endoscopic treatment of Bertolotti syndrome in the world.

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Endoscopic Resection of the Olecranon and Pre-Patellar Bursa

Swiss Surgery ◽

10.1024/1023-9332.7.3.121 ◽

2001 ◽

Vol 7 (3) ◽

pp. 121-125 ◽

Cited By ~ 9

Author(s):

Nussbaumer ◽

Candrian ◽

Hollinger

Keyword(s):

Endoscopic Resection ◽

Postoperative Komplikationen

Fragestellung: Gemäss Literatur treten nach chirurgischer Behandlung entzündlich veränderter Bursae präpatellar oder am Olecranon in rund 20% der Fälle Narbenbeschwerden auf. Die Frage ist, ob durch ein endoskopisches Vorgehen, welches erstmals 1990 beschrieben wurde, die Häufigkeit dieser Komplikationen reduziert werden kann. Methode: Im Rahmen einer prospektiven Studie wurde bei 13 Patienten mit einer Bursitis ein endoskopisches Bursa-shaving durchgeführt. Alle Patienten wurden drei Wochen und sechs Monate postoperativ klinisch nachkontrolliert. Resultate: Bei neun Patienten wurde eine Bursa olecrani entfernt, viermal eine Bursa präpatellaris. In 11 Fällen handelte es sich um eine akute, infizierte Bursitis. Die Eingriffe wurden je zur Hälfte in Vollnarkose bzw. Regionalanästhesie durchgeführt. Intra- sowie postoperative Komplikationen wurden keine beobachtet. Bei den Nachkontrollen waren sämtliche Patienten beschwerdefrei und zeigten eine volle Funktion des betroffenen Gelenks. Schlussfolgerung: In unseren Händen hat sich das endoskopische Bursashaving zur chirurgischen Therapie der Bursitis bewährt. Im Vergleich zur konventionellen Bursektomie können insbesondere Wundheilungsstörungen und chronische Narbenbeschwerden reduziert werden.

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