Treatment of cancer in tubular villous colorectal adenomas

Kit OI, Gevorkyan YuA, Soldatkina NV, et al. . Treatment of cancer in tubular villous colorectal adenomas. Pirogov Russian Journal of Surgery. 2025;(9):29‑35. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202509129

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To study the results of treatment of cancer in tubular villous colorectal adenomas.

MATERIAL AND METHODS

A retrospective analysis included 51 patients with cancer in tubular villous colorectal adenomas cTis-T1N0M0 between 02.2019 and 09.2021. The median age of patients was 64 (57; 71) years. Minimally invasive interventions were performed in all patients (transanal endoscopic microsurgical resection of the rectum — 25 cases, endoscopic submucosal dissection — 20 cases, laparoscopic resection of the intestine — 6 cases).

RESULTS

Intraoperative complications (intestinal wall perforation) developed in 1 (2%) patient, early postoperative complications (intestinal bleeding from suture line) — in 2 (4%) patients. Throughout the follow-up period (29—84 months), tumor recurrence was detected in 2 (4%) patients with rectal primary tumor, colorectal polyps — in 8 (15.7%) patients. Eleven (21.6%) patients had previous malignant tumors.

CONCLUSION

The study demonstrated favorable oncological and surgical results of treatment of cancer in tubular villous colorectal adenomas. Minimally invasive interventions are safe and predictable, as well as accompanied by low incidence of complications.

Keywords:

cancer in tubular villous colorectal adenoma

minimally invasive surgical interventions

complications

recurrences

Authors:

Kit O.I.

National Medical Research Center of Oncology

ORCID: 0000-0003-3061-6108

Gevorkyan Yu.A.

National Medical Research Center of Oncology

ORCID: 0000-0003-1957-7363

Soldatkina N.V.

National Medical Research Center of Oncology

ORCID: 0000-0002-0118-4935

Legostaev V.M.

National Medical Research Center of Oncology

ORCID: 0000-0002-8101-1179

Kolesnikov E.N.

National Medical Research Center of Oncology

ORCID: 0000-0001-9749-709X

Bondarenko O.K.

National Medical Research Center of Oncology

ORCID: 0000-0002-9543-4551

Mironenko E.N.

National Medical Research Center of Oncology

ORCID: 0000-0002-2879-467X

Petrov D.S.

National Medical Research Center of Oncology

ORCID: 0000-0002-4562-1199

Received:

28.10.2024

Accepted:

15.12.2024

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