Transanal Endoscopic Microsurgery

Buess, G.; Theiss, R; Günther, Manuel; Hutterer, Ferenc; Pichlmaier, H.

doi:10.1007/978-3-642-57797-0_47

Cited by 46 publications

(37 citation statements)

References 2 publications

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“…14,17 Also, a number of studies have reported significantly decreased duration of surgery for TEM compared with radical resection, with reductions ranging from 46 to 140 minutes. Most patients who undergo TEM experience short hospital stay and early return to routine activities, even after resection of very large lesions, often with full thickness excision.…”

Section: Duration Of Surgery Length Of Stay and Costmentioning

confidence: 99%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

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Section: Duration Of Surgery Length Of Stay and Costmentioning

confidence: 99%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

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“…Minimally invasive methods for rectal tumor resection with the use of rectoscopes are well accepted, widely used and improved in terms of technique in the last two decades. The transanal endoscopic microsurgery (TEM) idealized and preconized by Buess [37,38], is used i n d i f f e r e n t c o u n t r i e s : G e r m a n y , I t a l y , U n i t e d K i n g d o m , J a p a n , I s r a e l , S p a i n , S w i s s , Australia, China, USA and others. Since its introduction into the clinical practice, some innovations were added to the technique, in order to improve the final performance of the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, these techniques demand experience and, in consequence, must be performed in reference centers where a larger number of patients are available, facing that the surgeon training is mandatory and the small frequency of the indications is a reality [41][42][43][44]. Because of the necessity of having specific instruments and also the particular technical aspects, this method demands good training for the obtention of satisfactory results [45][46][47]. It was described that in 11 tumors located up to 4 cm of the anorectal line, a surgical conversion was necessary because of technical difficulties [48].…”

Section: Discussionmentioning

confidence: 99%

Transanal Endoscopic Operation - A New Proposal

Rocha¹,

Féres²

2011

Endoscopic Procedures in Colon and Rectum

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“…[38][39][40][41] Because of the necessity of having specific instruments and also the particular technical aspects, this method demands good training for the obtention of satisfactory results. [42][43][44] It was described that in 11 tumors located up to 4 cm of the anorectal line, a surgical conversion was necessary because of technical difficulties. 45 Due to two important disadvantages: first the high costs, taking into account the limitation of the equipment use and second, technical difficulties to perform the technique with ability and efficiency, the procedure has not achieved wide acceptance and popularity.…”

Section: Discussionmentioning

confidence: 99%

Transanal endoscopic operation: a new proposal

Rocha

Féres

2008

Acta Cir. Bras.

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Purpose: The transanal procedure for rectal cancer surgery is one of the many techniques currently available. Different techniques for local excision of rectal tumors include: conventional transanal technique, posterior access surgery, therapeutic colonoscopy, transanal endoscopic surgery. Methods: The aim of the present study is to describe a new method of transanal endoscopic resection, transanal endoscopic operation (TEO), and performed with the aid of a surgical proctoscope especially designed for this purpose and report the results obtained in 32 patients submitted to the TEO and to compare these results with those obtained with other techniques currently available. The average proportions of recurrence, postoperation complications and posterior resections were analyzed by means of a metanalysis. Data on the distance and size of rectal lesions, the operative timing and hospitalization time were distributed in graphs according to authors and techniques. Results: The results were favorable and equivalent to those described in the literature. Conclusions: The surgical proctoscope specially designed for this study is efficient and has a low cost; the TEO is easily performed with the aid of this equipment; the final results were favorable and similar to those obtained with other available techniques for endoscopic transanal intestinal resection, which are of high cost and less availability.Key words: Rectal Surgery. Endoscopy. RESUMOIntrodução: A operação cirúrgica por acesso transanal no tratamento do câncer retal é uma das várias técnicas utilizadas nessa terapêutica. Há várias técnicas de excisão local para os tumores retais: O método cirúrgico transanal convencional, acessos posteriores, colonoscopia terapêutica e operações transanais endoscópicas. O objetivo é apresentar um novo método de ressecção transanal endoscópica (Operação Transanal Endoscópica -OTE), realizada com um proctoscópio cirúrgico idealizado para o procedimento e divulgar os resultados obtidos em 32 pacientes submetidos a OTE e compará-los com as técnicas atualmente empregadas. Métodos: Foram analisadas as proporções médias da recorrência, das complicações pós-operatórias e das ressecções posteriores por meio da técnica de metanálise. Para a distância e o tamanho das lesões retais, os tempos de operação e de hospitalização, foram feitos gráficos de acordo com o autor e a técnica. Resultados: Os resultados foram favoráveis e equiparáveis aos trabalhos analisados. Conclusão: Concluiu-se que: O proctoscópio utilizado na OTE demonstrou ser eficaz e de baixo custo; 2 -A OTE mostrou-se factível; 3 -A análise dos resultados com a OTE foram satisfatórios e similares às outras técnicas de ressecções transanais endoscópicas que são de alto custo e pouco disponíveis em nosso meio.Descritores: Cirurgia Retal. Endoscopia. Rocha JJR et al 94

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Transanal Endoscopic Microsurgery

Cited by 46 publications

References 2 publications

Transanal endoscopic microsurgery: a review

Transanal endoscopic microsurgery: a review

Transanal Endoscopic Operation - A New Proposal

Transanal endoscopic operation: a new proposal

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