Endoscopic management versus transanal surgery for early primary or early locally recurrent rectal neoplasms-a systematic review and meta-analysis.
Ailish P NaughtonÉanna J RyanCliodhna Tutty BardonMichael R BolandThomas M AherneMichael E KellyMaria WhelanPaul C NearyDeirdre McNamaraJames M O'RiordanDara O KavanaghPublished in: International journal of colorectal disease (2020)
Endoscopic techniques should be favoured in the setting of benign early rectal neoplasms given their decreased morbidity and increased cost-effectiveness. However, where malignancy is suspected transanal surgery should be the preferred option given the superior R0 resection rate.