NOTES Rectosigmoid Resection Using Transanal Endoscopic Microsurgery (TEM) with Transgastric Endoscopic Assistance: A Pilot Study in Swine

Sylla, Patricia; Willingham, Field F.; Sohn, Dae Kyung; Gee, Denise W.; Brugge, William R.; Rattner, David W.

doi:10.1007/s11605-008-0637-1

Cited by 113 publications

(97 citation statements)

References 18 publications

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“…64,[93][94][95][96][97][98][99][100][101][102][103] In the largest cadaver series to date (n = 32), our group demonstrated the feasibility of pure and hybrid transanal NOTES rectosigmoid resection, with an intact mesorectum demonstrated in all cadavers (Fig. 1).…”

Section: Transanal Notes Rectosigmoid Resection: Experimental Resultsmentioning

confidence: 67%

Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

Emhoff

Lee

Sylla

2013

Digestive Endoscopy

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The surgical management of rectal cancer has evolved over the past century, with total mesorectal excision (TME) emerging as standard of care. As a result of the morbidity associated with open TME, minimally invasive techniques have become popular. Natural orifice translumenal endoscopic surgery (NOTES) has been held as the next revolution in surgical techniques, offering the possibility of 'incisionless' TME. Early clinical series of transanal TME with laparoscopic assistance (n = 72) are promising, with overall intraoperative and postoperative complication rates of 8.3% and 27.8%, respectively, similar to laparoscopic TME. The mesorectal specimen was intact in all patients, and 94.4% had negative margins. There was no oncological recurrence in average-risk patients at short-term follow up, and 2-year survival rates in high-risk patients were comparable to that after laparoscopic TME. These preliminary studies demonstrate transanal NOTES TME with laparoscopic assistance to be clinically feasible and safe given careful patient selection, surgical expertise, and appropriate procedural training. We are hopeful that with optimization of transanal instruments and surgical techniques, pure transanal NOTES TME will become a viable alternative to open and laparoscopic TME in the future.

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Section: Transanal Notes Rectosigmoid Resection: Experimental Resultsmentioning

confidence: 67%

Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

Emhoff

Lee

Sylla

2013

Digestive Endoscopy

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“…Так, в 2007 г. M. Whiteford [33] сообщил о первой трансанальной резекции прямой кишки посред-ством использования платформы ТЭМ на трупах. Следующим этапом стало экспериментальное при-менение трансанальных резекций на животных [34].…”

Section: обзорыunclassified

Current methods in the treatment of rectal cancer

Kazieva¹,

Рыбаков²,

Sevostianov³

2016

Endosk. khir.

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“…77 Pushing the limits of TES has led to other exceptional uses such as a platform to perform natural orifice transluminal endoscopic surgery. One case report by 78 describes the use of a rigid TEM platform for a rectosigmoid resection in a swine cadaver using transgastric assistance for colon mobilization.…”

Section: Future Prospectsmentioning

confidence: 99%

Transanal endoscopic surgery: patient selection and perspectives

Petrucci

Sands

2016

OAS

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Abstract:Transanal endoscopic surgery is a 30-year innovation, which has allowed surgeons to treat patients with benign and early malignant rectal tumors using a minimally invasive approach. Its use in colorectal surgery continues to expand and be of interest for surgeons practicing in the minimally invasive surgical era. This review provides an overview of transanal endoscopic surgery, focusing on its different platforms, learning curve, and specific indications for benign and malignant diseases of the rectum. It reviews patient selection, with a focus on patient-and tumor-specific characteristics involved in the selection process, preparation for surgery, complications, and outcomes. Lastly, it reviews novel uses for transanal endoscopic surgery and future prospects.

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NOTES Rectosigmoid Resection Using Transanal Endoscopic Microsurgery (TEM) with Transgastric Endoscopic Assistance: A Pilot Study in Swine

Abstract: Transanal rectosigmoid resection with TEM is feasible in swine. Combined transgastric and TEM access is a promising new technique for NOTES colorectal resection.

Cited by 113 publications

References 18 publications

Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

Current methods in the treatment of rectal cancer

Transanal endoscopic surgery: patient selection and perspectives

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