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Laparoscopic Transanal Abdominal Transanal Resection With Sphincter Preservation For Rectal Cancer In The Distal 3 Cm Of The Rectum After Neoadjuvant Therapy., Dr. John Marks, B. Mizrahi, S. Dalane, I. Nweze, Dr. Gerald Marks
Laparoscopic Transanal Abdominal Transanal Resection With Sphincter Preservation For Rectal Cancer In The Distal 3 Cm Of The Rectum After Neoadjuvant Therapy., Dr. John Marks, B. Mizrahi, S. Dalane, I. Nweze, Dr. Gerald Marks
Dr. John Marks
BACKGROUND: This study reports the short- and long-term results for a prospective rectal cancer management program using laparoscopic radical transanal abdominal transanal proctosigmoidectomy with coloanal anastomosis (TATA) after neoadjuvant therapy.
METHODS: A prospective database included 102 rectal cancer patients treated with laparoscopic TATA from 1998 to 2008. Patients with distant metastasis at presentation, patients with a tumor more than 3 cm from the anorectal ring, and patients not undergoing neoadjuvant therapy were excluded, leaving 79 patients (54 men and 25 women) with a mean age of 59.2 years (range, 22-85 years) for this study. 13 patients completed neoadjuvant therapy before …