Villi tumors of the rectum and colon - ways to solve the problem
DOI:
https://doi.org/10.24144/2415-8127.2020.62.15-23Keywords:
villous tumor of the rectum and colon, laser treatment, TEM, diothermocoagulation.Abstract
Adenomas (adenomatous polyps) are true neoplasias that grow on the surface of the colon and are associated with a high risk of developing cancer. Adenomatous polyps are a precancerous disease of the rectum and colon and account for about 10% of all polyps. The main number of polyps (about 90%) is up to 1 cm in diameter; the percentage of their mourning is quite low. The other 10% are adenomas larger than 2 cm, the probability of a tumor process is about 10%. The main task facing specialists is adherence to the principles of radicality of the operation, reduction of trauma, reduction of relapses after surgery. In modern endoscopy, the most commonly used are loop electro excision and transanal removal of adenomatous polyps. The frequent occurrence of disease relapses, as well as frequent malignancy, reduce the possibility of using endo-scopic loop electro excision. The method of transanal endoscopic surgery is used worldwide for the treatment of rectal ade-nomas. These operations are performed with the aim of limiting cavity low resections of the rectum with the prevention of complications such as anastomotic leakage and peritonitis. Until now, there is a continuous search for low-traumatic methods of surgical interventions for benign neoplasms of the rectum and colon. This is due to various factors, including the large size of the formations, the complexity of visual assessment, and possible infiltrative growth deep into the intestinal wall.
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