Transanal endoscopic microsurgery for large benign rectal tumors; where are the limits?

Khoury, Reem; Duek, Simon D.; Issa, Nidal; Khoury, Wisam

doi:10.1016/j.ijsu.2016.03.041

Cited by 17 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The conversion rates vary from 1% to 13%. Conversion to low anterior resection occurred in 6% of cases due to difficult access to the lesion and lack of progress in another series 14 . Another study showed that in 6.7% of cases, the TEM procedure was discontinued because complete excision could not be completed endoscopically.…”

Section: ■ Discussionmentioning

confidence: 95%

“…We found a mean operative time of 65.3 ± 41.7 minutes. Compared to other surgeries, the technique using the proctoscope was associated with a shorter operative time [14][15][16][17] . Our study presented a conversion rate for open surgery of 3%, mainly due to technical difficulties resulting from the extension of the lesion (10 and 15 cm).…”

Section: ■ Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical and postoperative evaluations of rectal adenomas excised with a rigid proctoscope

Lima

Parra²,

Feitosa³

et al. 2020

Acta Cir. Bras.

View full text Add to dashboard Cite

show abstract

Section: ■ Discussionmentioning

confidence: 95%

Section: ■ Discussionmentioning

confidence: 99%

Surgical and postoperative evaluations of rectal adenomas excised with a rigid proctoscope

Lima

Parra²,

Feitosa³

et al. 2020

Acta Cir. Bras.

View full text Add to dashboard Cite

show abstract

“…The conversion rates vary from 1% to 13%. Conversion to low anterior resection occurred in 6% of cases due to di cult access to the lesion and lack of progress in another series (14). Another study showed that in 6.7% of cases, the TEM procedure was discontinued because complete excision could not be completed endoscopically.…”

Section: Discussionmentioning

confidence: 99%

Surgical and Postoperative Evaluations of Rectal Adenomas Ecised With a Novel Proctoscope.

Lima

Parra

Feitosa

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose Many transanal endoscopic surgeries require a high level of technical expertise and surgeon experience. Considering the economic feasibility of material acquisition and the technical feasibility of training and experience with complex methods, a simpler technique with available resources is relevant for the excision of rectal adenomas. This study presents the surgical and postoperative results achieved with a novel proctoscope using the transanal endoscopic technique to excise rectal adenomas. The results are compared to the results obtained with other currently employed transanal techniques. Methods We retrospectively investigated the medical records of patients who underwent transanal endoscopic operations from April 2000 to June 2018 at two tertiary referral centers for colorectal cancer. Results This study included 99 patients. The mean age was 65.3 ± 13.3 years. The average size of the adenomas was 4.6 ± 2.3 cm, and their average distance to the anal border was 5.6 ± 3.3 cm. The average operative time was 65.3 ± 41.7 min. In 48.5% of the operations, the specimen was fragmented, and in 59.6% of the cases, the microscopic margins were free. The rates of postoperative complications and relapse were 5% and 19%, respectively. The mean follow-up was 80 ± 61.5 months. Conclusions The described proctoscope proved to be a viable technique with results similar to other techniques, with the advantage that it allowed greater accessibility for surgeons. Therefore, its use could be implemented and become widespread in surgical practice.

show abstract

“…Dear Editor, Laparoscopic ventral mesh rectopexy (LVMR) has become the preferred technique for many surgeons for the treatment of rectal prolapse [1][2][3]. Amongst rectal rectopexy techniques, LVMR has low recurrence rates and morbidity.…”

Section: Supporting Informationmentioning

confidence: 99%

“…Amongst rectal rectopexy techniques, LVMR has low recurrence rates and morbidity. It is also nerve-sparing [3,4]. In 2016, Renzi et al described a novel surgical procedure, the transverse perineal support (TPS), for the correction of pathological perineal descent.…”

Section: Supporting Informationmentioning

confidence: 99%

Laparoscopic ventral mesh rectopexy plus transverse perineal support using biologic mesh for rectal intussusception with rectocele and perineal descent – a video vignette

Leo

Andreuccetti

2020

Colorectal Disease

View full text Add to dashboard Cite

Transanal endoscopic microsurgery for large benign rectal tumors; where are the limits?

Abstract: TEM is feasible for the treatment of large benign rectal tumors. It may be an alternative method for proctectomy in selected patients with large rectal lesions.

Cited by 17 publications

References 13 publications

Surgical and postoperative evaluations of rectal adenomas excised with a rigid proctoscope

Surgical and postoperative evaluations of rectal adenomas excised with a rigid proctoscope

Surgical and Postoperative Evaluations of Rectal Adenomas Ecised With a Novel Proctoscope.

Laparoscopic ventral mesh rectopexy plus transverse perineal support using biologic mesh for rectal intussusception with rectocele and perineal descent – a video vignette

Contact Info

Product

Resources

About