What you need to know about:

Transanal Excision (Transanal Resection)

Fast Fact

85%

Worth It Rating

Average Cost:

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Recovery Period:

Same day discharge

Permanence:

Depends on patient condition

177

Doctors

Time it takes:

45 minutes - 2 hours

Hospitals & Clinics

Reviews

Anesthetize:

Local or General Anesthesia

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Overview of

Transanal Excision (Transanal Resection)

in Thailand

Rectal cancer is cancer that begins in the rectum. The rectum is described as the last several inches of the large intestine. It starts at the end of the final segment of your colon and ends when it reaches the short, narrow passage leading to the anus. Cancer inside the rectum is known as rectal and cancer inside the colon is known as colon cancer. Both are usually referred to together as colorectal cancer. While rectal and colon cancers are similar in many ways, their treatments are quite different. This is mainly because the rectum sits in a tight space, barely separated from other organs and structures. The tight space can make surgery to remove rectal cancer complex. In the past, long-term survival was uncommon for people with rectal cancer, even after extensive treatment. Thanks to treatment advances over the last few decades, rectal cancer survival rates have greatly improved. Traditionally rectal cancer has been treated by removing the anus and sphincter along with tumors in the rectum. Today, experienced colorectal cancer surgeons can often perform surgery through the anus and remove only the rectal tumors and small amounts of surrounding tissue while leaving the anus and sphincter intact. This significant advance in cancer surgery typically allows patients to retain bowel function and completely eliminates the need for a permanent colostomy bag. Following surgery, it is common for patients to also receive radiation and/or chemotherapy treatment.

Goals of

Transanal Excision (Transanal Resection)

This procedure is performed to remove rectal tumors and small amounts of surrounding tissue while leaving the anus and sphincter intact. Following the surgery, most patients will receive radiation and/or chemotherapy.

Price of

Transanal Excision (Transanal Resection)

Average Cost

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Price Range

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Pros and cons of

Transanal Excision (Transanal Resection)

Pros

Cons

N/A

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How it works:

Transanal Excision (Transanal Resection)

A transanal excision may be performed with local or general anesthesia, depending on your doctor’s recommendation and your preference. The surgery may be done with or without an endoscope. (When performed with an endoscope, this procedure is called transanal endoscopic microsurgery.) Polyps, if present, will be removed with a wire snare then loops around the polyp. Electricity is then used to burn or destroy the tissue. Other growths will be removed with appropriate tools. A minimal amount of normal tissue (margin) is also usually removed. No incision will be made on the skin and no stitches are necessary.

Preparation before

Transanal Excision (Transanal Resection)

Pre - treatment

You will undergo a physical examination as well as blood tests, a chest x-ray, and an electrocardiogram (EKG). A few days before the procedure, your intestines will need to be cleaned out. This may mean that you will have to be on a clear liquid diet for one to three days before the procedure, followed with laxatives on the day of the procedure. Please let your doctor know about all medication that you are taking as some will need to be stopped before the procedure. You will probably need to stop your liquid diet six to eight hours before the procedure, or as recommended by the doctor.

Recovery after

Transanal Excision (Transanal Resection)

Post - treatment

Some pain is normal after the procedure and can be managed with medication. You will probably be able to go home the next day if there are no complications. You can return to normal activities as you are comfortable doing so, but will likely need to take it easy for a few days. The doctor will discuss further treatment with you as it is common for patients to follow up the surgery with radiation and/or chemotherapy for the most effective results.

Risks & side effects

Complications are uncommon with this procedure, but may include bleeding from the surgical site and perforation of the colon or rectum. There is also the risk of infection and reaction to anesthesia, usually if general anesthesia is used.

FAQs:

Transanal Excision (Transanal Resection)

What are the recommendations for travel for this procedure?

If you are taking any blood-thinning medication/anticoagulant, please let your doctor know as some may need to be stopped before you travel for the procedure. Travelers to Thailand should plan to stay in the country for at least two to five days after the procedure, depending on their condition after surgery, or for the entire duration of treatment. If you plan to return home after the procedure, please speak to your doctor before making travel arrangements. There are no restrictions for air travel. During your follow-up appointment your medical team will assess your health and your incision and you will receive documents detailing your medical and treatment history and your "Fit to Fly" certificate (if needed).

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What are the signs and symptoms of rectal cancer?

-A change in bowel habits, such as diarrhea, constipation or more-frequent bowel movements -Dark maroon or bright red blood in stool. -Narrow stool -A feeling that your bowel doesn't empty completely -Abdominal pain -Unexplained weight loss -Weakness or fatigue

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What are the factors that may increase the risk of rectal cancer?

-Older age. Colorectal cancer can be diagnosed at any age, but most people with this type of cancer are older than 50. The rates of colorectal cancer in people younger than 50 have been increasing, but doctors aren't sure why. -African-American descent. People of African ancestry born in the United States have a greater risk of colorectal cancer than do people of European ancestry. -A personal history of colorectal cancer or polyps. Your risk of colorectal cancer is higher if you've already had rectal cancer, colon cancer or adenomatous polyps. -Inflammatory bowel disease. Chronic inflammatory diseases of the colon and rectum, such as ulcerative colitis and Crohn's disease, increase your risk of colorectal cancer. -Inherited syndromes that increase rectal cancer risk. Genetic syndromes passed through generations of your family can increase your risk of colon and rectal cancer, including FAP and Lynch syndrome. -Family history of colorectal cancer. You're more likely to develop colorectal cancer if you have a parent, sibling or child with colon or rectal cancer. -A diet low in vegetables and fiber. Colorectal cancer may be associated with a diet low in vegetables and high in red meat, particularly when the meat is charred or well done. Too little exercise. If you're inactive, you're more likely to develop colorectal cancer. Getting regular physical activity may reduce your risk of cancer. -Diabetes. People with poorly controlled type 2 diabetes may have an increased risk of colorectal cancer. Obesity. Obese people have an increased risk of colorectal cancer when compared with people considered at a healthy weight. -Smoking. People who smoke may have an increased risk of colorectal cancer. -Drinking alcohol. Regularly drinking more than three alcoholic beverages a week may increase your risk of colorectal cancer. -Radiation therapy for previous cancer. Radiation therapy directed at the abdomen to treat previous cancers may increase the risk of colorectal cancer.

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What are tests that can help diagnose rectal cancer?

Colonoscopy - Using a scope to examine the inside of your colon and rectum. A colonoscopy uses a long, flexible tube attached to a video camera and monitor to view your colon and rectum. If cancer is found in your rectum, your doctor may recommend examining your colon in order to look for additional suspicious areas. Biopsy - Removing a sample of tissue for testing. If any suspicious areas are found, your doctor can pass surgical tools through the colonoscope to take tissue samples for analysis and remove polyps. The tissue sample is sent to a lab to be examined by doctors who specialize in analyzing blood and body tissues. Tests can determine whether the cells are cancer, whether they're aggressive and which genes in the cancer cells are abnormal. Your doctor uses this information to understand your prognosis and determine your treatment options.

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