Knife-assisted full-thickness resection guided by pocket detection method for detection and complete excision of deeply invasive rectal cancer
A 61-year-old patient with concomitant esophageal (cT2N0M0) and pharyngeal (cT3N2M0) squamous cell cancers under systemic treatment (Charlson Comorbidity Index 4) was referred for a rectal lesion detected on a positron emission tomography scan. Endoscopy showed a sessile 25-mm proximal rectal lesion with a demarcated and slightly depressed central area (Paris 0-Is+IIc, Japan Narrow-Band Imaging Expert Team-3) on the posterior wall (Fig. 1A). Magnetic resonance imaging ruled out extramural vascular and nodal involvement and confirmed the extraperitoneal location of the lesion.
Authors
- David James Tate (ORCID: https://orcid.org/0000-0002-0226-0434)
- Anne Hoorens (ORCID: https://orcid.org/0000-0002-0736-2034)
- Andrea Sorge (ORCID: https://orcid.org/0000-0002-0285-9949)
- Daniele Balducci (ORCID: https://orcid.org/0000-0001-6421-1366)
- Luca Maroni (ORCID: https://orcid.org/0000-0003-4707-7374)
- Michele Montori (ORCID: https://orcid.org/0000-0003-1484-5488)
- Pieter Jan Poortmans (ORCID: https://orcid.org/0000-0003-3529-5040)
- Maria Eva Argenziano (ORCID: https://orcid.org/0000-0001-9213-1494)
Institutions
- Marche Polytechnic University (IT)
- University of Milan (IT)
- Ghent University Hospital (BE)
- Erasmus Hospital (BE)
- Ghent University (BE)
Publication Details
- Journal
- VideoGIE
- Published
- 2024-11-23
- DOI
- https://doi.org/10.1016/j.vgie.2024.11.004
- Citations
- 3
- Primary Topic
- Colorectal Cancer Surgical Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.85
Funders
- Università Politecnica delle Marche