@article{
 title = {THE ROLE OF TRANSANAL ENDOSCOPIC MICROSURGERY IN THE TREATMENT OF T1N0 RECTAL CANCER - CASE SERIES AND REVIEW OF THE LITERATURE},
 type = {article},
 year = {2016},
 identifiers = {[object Object]},
 pages = {50},
 volume = {2},
 websites = {http://www.scopemed.org/fulltextpdf.php?mno=219235},
 id = {8ab3b29e-7c35-3048-8454-3fb8a9b959a5},
 created = {2017-03-27T21:00:42.237Z},
 accessed = {2017-03-27},
 file_attached = {false},
 profile_id = {5355b842-e534-326f-80e0-2f323ca218e2},
 group_id = {d0de29a3-0d31-36e3-a285-6c5371443de8},
 last_modified = {2017-03-27T21:00:42.237Z},
 tags = {adjuvant radiotherapy,early rectal cancer,risk factors,transanal endoscopic microsurgery},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {false},
 hidden = {false},
 private_publication = {false},
 abstract = {Currently, there has been an increasing trend toward transanal endoscopic microsurgery as a definitive treatment of T1 rectal cancer. Despite the promising results from the earlier series, the more recent studies reported a higher rate of local recurrences.
Methods:
A retrospective analysis of 20 patients with T1 rectal cancer managed by transanal endoscopic microsurgery is presented.
Results:
The patients were followed-up for mean 39.3 months. Local recurrences occurred in 5.3% of low-risk, 50% of high-risk T1 cases. The 3-year and 5-year cancer-specific survival in T1 group were 94.4% and 73.5%, respectively with mean time without LR was 81.5 months (90.5 months in the low-risk and 21 months in the high-risk group).
Conclusion:
The results corroborate the excellent prognosis for low-risk T1 cancers treated by TEM alone. For a high-risk T1 cancer adjuvant radiotherapy or conventional resection is highly recommended.},
 bibtype = {article},
 author = {Mutafchiyski, Ventsislav and Popivanov, Georgi and Naseva, Emilia and Vasil, Kyosev and Kjossev, Kirien and Ivanov, Plamen and Grigorov, Grigor and Kotashev, Georgi and Vasilev, Krasimir and Penkov, Marin},
 journal = {International Journal of Surgery and Medicine},
 number = {2}
}

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Despite the promising results from the earlier series, the more recent studies reported a higher rate of local recurrences.\r\nMethods:\r\nA retrospective analysis of 20 patients with T1 rectal cancer managed by transanal endoscopic microsurgery is presented.\r\nResults:\r\nThe patients were followed-up for mean 39.3 months. Local recurrences occurred in 5.3% of low-risk, 50% of high-risk T1 cases. The 3-year and 5-year cancer-specific survival in T1 group were 94.4% and 73.5%, respectively with mean time without LR was 81.5 months (90.5 months in the low-risk and 21 months in the high-risk group).\r\nConclusion:\r\nThe results corroborate the excellent prognosis for low-risk T1 cancers treated by TEM alone. For a high-risk T1 cancer adjuvant radiotherapy or conventional resection is highly recommended.","bibtype":"article","author":"Mutafchiyski, Ventsislav and Popivanov, Georgi and Naseva, Emilia and Vasil, Kyosev and Kjossev, Kirien and Ivanov, Plamen and Grigorov, Grigor and Kotashev, Georgi and Vasilev, Krasimir and Penkov, Marin","journal":"International Journal of Surgery and Medicine","number":"2","bibtex":"@article{\n title = {THE ROLE OF TRANSANAL ENDOSCOPIC MICROSURGERY IN THE TREATMENT OF T1N0 RECTAL CANCER - CASE SERIES AND REVIEW OF THE LITERATURE},\n type = {article},\n year = {2016},\n identifiers = {[object Object]},\n pages = {50},\n volume = {2},\n websites = {http://www.scopemed.org/fulltextpdf.php?mno=219235},\n id = {8ab3b29e-7c35-3048-8454-3fb8a9b959a5},\n created = {2017-03-27T21:00:42.237Z},\n accessed = {2017-03-27},\n file_attached = {false},\n profile_id = {5355b842-e534-326f-80e0-2f323ca218e2},\n group_id = {d0de29a3-0d31-36e3-a285-6c5371443de8},\n last_modified = {2017-03-27T21:00:42.237Z},\n tags = {adjuvant radiotherapy,early rectal cancer,risk factors,transanal endoscopic microsurgery},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n private_publication = {false},\n abstract = {Currently, there has been an increasing trend toward transanal endoscopic microsurgery as a definitive treatment of T1 rectal cancer. 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