Stepwise organ-preserving management of incidental pT1 rectal adenocarcinoma: outcomes after completion transanal endoscopic microsurgery (TEM)
In patients with incidental pT1 rectal adenocarcinoma following EMR or ESD, completion TEM provides excellent short-term oncological outcomes with minimal morbidity. This two-step, organ-preserving approach appears oncologically adequate in well-selected low-risk patients and offers a viable alternative to radical surgery, especially when maintaining function is a priority.
Authors
- Mario Barbiero
- Roberto Passera
- Mario Morino (ORCID: https://orcid.org/0000-0003-4540-1409)
- Carlo Alberto Ammirati (ORCID: https://orcid.org/0000-0002-9892-4572)
- Alberto Arezzo (ORCID: https://orcid.org/0000-0002-2110-4082)
- Simone Arolfo (ORCID: https://orcid.org/0000-0002-7761-4487)
- Giovanni Distefano (ORCID: https://orcid.org/0000-0002-4813-4812)
Institutions
- CTO Hospital (IT)
- Azienda Ospedaliera Citta' della Salute e della Scienza di Torino (IT)
- Department of Medical Sciences (RU)
Publication Details
- Journal
- Surgical Endoscopy
- Published
- 2025-10-20
- DOI
- https://doi.org/10.1007/s00464-025-12313-z
- Citations
- 1
- Primary Topic
- Colorectal Cancer Surgical Treatments
- Type
- article
- Field-Weighted Citation Impact
- 1.05
Funders
- European Commission
- HORIZON EUROPE Framework Programme