Transanal endoscopic microsurgery: clinical and functional results

Dafnis, George; Påhlman, Lars; Raab, Yngve; Gustafsson, Ulla Maria; Graf, Wilhelm

doi:10.1111/j.1463-1318.2004.00629.x

Cited by 68 publications

(56 citation statements)

References 31 publications

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“…Various published studies have shown a shorter length of hospitalisation in patients undergoing TEM, with an average in patient stay of around 5 days (range 3–8.2) [5, 9, 18,23,24,25, 28,30,31,32,33,34,35,36,37]. This compares favourably with 14.5 days quoted for open procedures [25].…”

Section: Resultssupporting

confidence: 64%

“…Several published reports have consistently demonstrated these benefits [5, 9, 18,23,24,25,26,27,28,29,30,31,32,33], which hold true for both the older and the younger patients.…”

Section: Resultsmentioning

confidence: 88%

“…The average operating time is around 105 minutes (range 67–178) in these published reports [5, 9, 18,23,24,25, 28,30,31,32,33,34,35,36,37], which is considerably shorter than the routine elective anterior resections or abdominoperineal resections. Also, many authors have seen their operative time decrease with experience, probably secondary to the learning curve [27].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Transanal Endoscopic Microsurgery: Where Are We Now?

Maslekar¹,

Beral²,

White³

et al. 2006

Dig Surg

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Aims: This review of literature aimed to assess the role and establish the current status of transanal endoscopic microsurgery (TEM) in the management of benign and malignant rectal lesions. Methods: Areview of the literature was undertaken through the Medline database and by cross-referencing previous publications, thus identifying 54 relevant publications on TEM in the management of rectal lesions. Aggregated results of various parameters were calculated but statistical comparisons deemed unsuitable due to heterogeneity of data. Results: The TEM procedure is associated with good functional results, morbidity of 4% and zero procedure-related mortality. The local recurrence rates after TEM excision is 4.5% (range 0–14) for benign rectal lesions, 6% (0–13) for T₁ cancers, 14% (range 0–50) for T₂ cancers and 20% (range 14–67%) for T₃ cancers. Local recurrences after TEM can be surgically salvaged with good disease free survival rates. Conclusions: The TEM procedure clearly offers the benefits of good exposure of the operative field allowing extremely precise dissection and access to high rectal lesions unresectable by other methods. For pTis and low risk pT₁ lesions, the oncological results are comparable to the more traditional formal resection. The routine use of TEM for high-risk pT₁ and higher stage lesions is not an oncologically sound choice at the present moment.

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Section: Resultssupporting

confidence: 64%

“…Several published reports have consistently demonstrated these benefits [5, 9, 18,23,24,25,26,27,28,29,30,31,32,33], which hold true for both the older and the younger patients.…”

Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

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Transanal Endoscopic Microsurgery: Where Are We Now?

Maslekar¹,

Beral²,

White³

et al. 2006

Dig Surg

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“…In their study, patients with a tumour in the distal 7 cm of the rectum had a significant improvement in FISI score (16 v. 5, p = 0.01). Dafnis and colleagues 21 found that patients who experienced post-TEM incontinence had longer surgery durations (175 v. 117 min, p = 0.002). Similarly, Kennedy and colleagues 22 described a correlation between duration of surgery and functional results.…”

Section: Researchmentioning

confidence: 99%

Transanal endoscopic microsurgery: impact on fecal incontinence and quality of life

Planting

Phang²,

Raval³

et al. 2013

cjs

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Background: Anal dilation during tumour excision with transanal endoscopic microsurgery (TEM) has caused concerns regarding postoperative anal function. We sought to determine whether TEM affects anorectal function and quality of life. Results: Forty patients received TEM; 30 of them met all inclusion criteria and agreed to participate. The median age was 70 (42-93) years, and median follow-up time between the interview and the operation was 365 (55-712) days. Tumours excised included 19 adenomas, 8 carcinomas and 3 carcinoid tumours. The median distance from the tumour to the anal verge was 6.5 (2-13) cm. Median length of stay was 1 (0-12) day. For most aspects of quality of life, there were no detectable differences after surgery. The EORTC QLQ-C30 showed a significant improvement in diarrhea (27.8 v. 10, p = 0.002). The FIQL scores improved with surgery (3.59 v. 3.85, p = 0.020). There was no difference in pre-versus postoperative FISI scores (6.7 v. 6.3, p = 0.93). Methods Conclusion:Despite a large operating rectoscope, TEM improves quality of life related to fecal incontinence and does not have a negative impact on fecal continence.Contexte : La dilatation de l'anus au cours de l'excision d'une tumeur par microchirurgie endoscopique transanale (MET) soulève des préoccupations quant à la fonction anale postopératoire. Nous avons cherché à déterminer si la MET a un effet sur la fonction anorectale et la qualité de vie.

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“…Dentre esses resultados, vem ganhando destaque a avaliação da função esfincteriana após a TEM 9,10,11,12,14 . Foi verificada alteração da função esfincteriana clinicamente significativa em 14,7% dos pacientes após a operação.…”

Section: Discussionunclassified

Qualidade de vida do paciente submetido à Microcirurgia Endoscópica Transanal (TEM)

Moraes

Zanchet

Sobottka

et al. 2007

ABCD, arq. bras. cir. dig.

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InTRODUÇÃOA Microcirurgia Endoscópica Transanal (TEM) foi desenvolvida em 1983 por Gerhard Buess 13 e corresponde a um dos mais recentes avanços no campo da cirurgia minimamente invasiva para o tratamento dos tumores do reto. A TEM proporciona o tratamento de lesões retais selecionadas com baixa morbi-mortalidade e resultados semelhantes ao da cirurgia radical convencional.Atualmente, existe a tendência em se avaliar a qualidade de vida pós-operatória nas diversos procedimentos cirúrgicos. Não há qualquer trabalho, conforme as fontes de dados do MEDLINE e da literatura médica brasileira, que avalie especificamente e de maneira objetiva a qualidade de vida após a TEM. Igualmente, a maioria dos trabalhos com essa finalidade são adaptações de publicações estrangeiras, nem sempre aplicáveis de modo adequado em nosso meio e para todos os procedimentos cirúrgicos.O objetivo do presente estudo foi o de realizar análise objetiva, qualitativa e quantitativa dos aspectos clínicos ABCDDV/522

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Transanal endoscopic microsurgery: clinical and functional results

Abstract: TEM is a safe procedure, having a low recurrence rate and an acceptable functional outcome.

Cited by 68 publications

References 31 publications

Transanal Endoscopic Microsurgery: Where Are We Now?

Transanal Endoscopic Microsurgery: Where Are We Now?

Transanal endoscopic microsurgery: impact on fecal incontinence and quality of life

Qualidade de vida do paciente submetido à Microcirurgia Endoscópica Transanal (TEM)

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