Transanal Endoscopic Surgery for Benign Rectal Lesions: Preparation and Surgical Techniques

  • Teresa deBeche-Adams


Transanal endoscopic surgery (TES) encompasses several transanal platforms, most notably TEM and TAMIS, allowing access to the rectum for local excision of benign lesions. These techniques have been shown to improve the quality of transanal resections by allowing for improved visibility and access to the proximal rectum. This in turn provides a more complete intact specimen thereby reducing recurrence rates. Here we will discuss the indications for TES along with preoperative planning, operative setup, and technique for performing these procedures.


Transanal endoscopic surgery (TES) Transanal endoscopic microsurgery (TEM) Transanal minimally invasive surgery (TAMIS) Local excision Benign rectal lesions Adenoma Transanal excision (TAE) 


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2020

Authors and Affiliations

  • Teresa deBeche-Adams
    • 1
  1. 1.AdventHealth Orlando, Colorectal SurgeryOrlandoUSA

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