Page 17 - GALENIKA MEDICAL JOURNAL
P. 17
Table 1. Preoperative characteristics of patients
Characteristics Mean value or number of patients in the TAE group ean value or number of patients in the TAMIS group
Age 72.5 years (55-79 years) 68.5 years (49-82years)
Gender (male-female) 10 men (66.6%) i 5 woman (33.3%) 8 (66.6%) i 4 (33.3%)
Average distance from the anocutaneous line 3.1 cm (0-6 cm) 8.1 cm (5-12 cm)
Tubulovillous - low to moderate grade dysplasia 8 (55.33%) (50%)
Tubulovillous - high grade dysplasia 4 (26.66%) 3 (25%)
HP Villous adenomas with high-grade dysplasia 1 (6.66%) 1 (16.67%)
Tubular adenoma 1 (6.66%) 1 (8.33%)
Adeno Ca recti T1 1 (6.66%) 1 (8.33%)
Table 2. Intraoperative characteristics of the patient
Medical finding Mean value or number of patients in the TAE group Mean value or number of patients in the TAMIS group
Back wall
Localization Right lateral 9 (60.00%) 8 (66.67%)
2 (16.67%)
3 (20.00%)
Left lateral
2 (16.67%)
3 (20.00%)
Trendelenburg 15 (100.00%) 8 (66.67%)
Position Right lateral 0 2 (16.67%)
Left lateral 0 2 (16.67%)
Mucosectomy 8 (53.33%) 7 (58.33%)
Depth of resection Full thickness of the wall 4 (26.66%) 3 (25.00%)
Full thickness of the wall with mesorectal tissue 3 (20.00%) 2 (16.67%)
1 (6.66%)
Defect closure Yes 14 (93.33%) 3 (25.00%)
No
9 (75.00%)
Size of the change Average size 2.5 cm (diameter ranging from 1 to 4 cm) Average size 3 cm (diameter ranging from 2 to 5 cm)
Tubulovillous adenoma with mild to moderate 8 (53.33%) 5 (41.67%)
dysplasia
Final HP analysis Tubulovillous adenoma with high-grade dysplasia 4 (26.66%) 2 (16.67%)
Villous adenoma with high-grade dysplasia
0
2 (16.67%)
1 (8.33%)
Tubular adenoma
1 (6.66%)
Intramucosal adeno Ca 2 (13.33%) 2 (16.67%)
Resection margins Negative 14 (93.33%) 11 (91.67%)
1 (6.66%)
Positive
1 (8.33%)
Table 3. Postoperative characteristics of patients
TAE group TAMIS group
Average length of postoperative hospitalization
Average 1.3 days (interval 1-4 days) Average 1.8 days (interval 1-5 days)
1 patient (8.33%)
0
Urinary infection
Postoperative complications Urinary retention 1 patient - hemostaza šavom 1 patient - endoscopic hemostasis
1 patient (6.66%)
1 patient (8.33%)
Bleeding
1 patient (6.66%) follow-up rectoscopies 1 patient (8.33%), follow-up endoscopies
Positive margins of the specimen
3, 6 and 12 month postoperative 3, 6 and 12 month postoperative
was most commonly performed, followed by full-thickness The average size of polypoid lesions in the largest diameter
rectal wall resection, while resection of the rectal wall with a was 3 cm in the TAMIS group and 2.5 cm in the TAE group,
portion of the mesorectum tissue was least common in both with the diameter of polyps ranging from 1 to 5 cm. In three
analyzed groups. In three cases of TAMIS, mucosal defect patients, we encountered specimen fragmentation, and in
closure was performed using extended 3/0 Vicryl sutures. one case in the TAMIS group, we found positive margins on
ORIGINAL PAPER Galenika Medical Journal, 2024; 3(9):11-18. 15

