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Transanal Endoscopic Surgery (TES)

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Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery

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Abstract

The value of transanal endoscopic surgery (TES) continues to expand as minimally invasive techniques and equipment improve. A variety of rectal and colorectal pathology has been successfully treated with TES owing to superior visualization and better equipment. Further training and research will elucidate the complete scope of this technique as it continues to grow into an important niche in colon and rectal surgery.

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References

  1. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2012. CA Cancer J Clin. 2012;62(1):10–29.

    Article  PubMed  Google Scholar 

  2. Cheng L, et al. Trends in colorectal cancer incidence by anatomic site and disease stage in the United States from 1976 to 2005. Am J Clin Oncol. 2011;34(6):573–80.

    Article  PubMed  Google Scholar 

  3. Wallner C, et al. Causes of fecal and urinary incontinence after total mesorectal excision for rectal cancer based on cadaveric surgery: a study from the Cooperative Clinical Investigators of the Dutch total mesorectal excision trial. J Clin Oncol. 2008;26(27):4466–72.

    Article  PubMed  Google Scholar 

  4. Lujan J, et al. Randomized clinical trial comparing laparoscopic and open surgery in patients with rectal cancer. Br J Surg. 2009;96(9):982–9.

    Article  CAS  PubMed  Google Scholar 

  5. Breukink S, Pierie J, Wiggers T. Laparoscopic versus open total mesorectal excision for rectal cancer. Cochrane Database Syst Rev. 2006;4:CD005200.

    PubMed  Google Scholar 

  6. Onaitis M, et al. The Kraske procedure: a critical analysis of a surgical approach for mid-rectal lesions. J Surg Oncol. 2006;94(3):194–202.

    Article  PubMed  Google Scholar 

  7. Buess G, et al. Endoscopic surgery in the rectum. Endoscopy. 1985;17(1):31–5.

    Article  CAS  PubMed  Google Scholar 

  8. Lorenz C, Nimmesgern T, Langwieler TE. Transanal endoscopic surgery using different single-port devices. Surg Technol Int. 2011;XXI:107–11.

    PubMed  Google Scholar 

  9. Moore JS, et al. Transanal endoscopic microsurgery is more effective than traditional transanal excision for resection of rectal masses. Dis Colon Rectum. 2008;51(7):1026–30; discussion 1030–1.

    Article  PubMed  Google Scholar 

  10. Schafer H, Baldus SE, Holscher AH. Giant adenomas of the rectum: complete resection by transanal endoscopic microsurgery (TEM). Int J Color Dis. 2006;21(6):533–7.

    Article  Google Scholar 

  11. Leonard D, et al. Transanal endoscopic microsurgery: long-term experience, indication expansion, and technical improvements. Surg Endosc. 2012;26(2):312–22.

    Article  PubMed  Google Scholar 

  12. Guerrieri M, et al. Treatment of rectal adenomas by transanal endoscopic microsurgery: 15 years’ experience. Surg Endosc. 2010;24(2):445–9.

    Article  PubMed  Google Scholar 

  13. de Graaf EJ, et al. Transanal endoscopic microsurgery is feasible for adenomas throughout the entire rectum: a prospective study. Dis Colon Rectum. 2009;52(6):1107–13.

    Article  PubMed  Google Scholar 

  14. Allaix ME, et al. Recurrence after transanal endoscopic microsurgery for large rectal adenomas. Surg Endosc. 2012;26(9):2594–600.

    Article  PubMed  Google Scholar 

  15. Barendse RM, et al. Endoscopic mucosal resection vs transanal endoscopic microsurgery for the treatment of large rectal adenomas. Color Dis. 2012;14(4):e191–6.

    Article  CAS  Google Scholar 

  16. Engstrom PF, et al. NCCN Clinical Practice Guidelines in Oncology: rectal cancer. J Natl Compr Canc Netw. 2009;7(8):838–81.

    PubMed  Google Scholar 

  17. Nascimbeni R, et al. Risk of lymph node metastasis in T1 carcinoma of the colon and rectum. Dis Colon Rectum. 2002;45(2):200–6.

    Article  PubMed  Google Scholar 

  18. Bach SP, et al. A predictive model for local recurrence after transanal endoscopic microsurgery for rectal cancer. Br J Surg. 2009;96(3):280–90.

    Article  CAS  PubMed  Google Scholar 

  19. Serra-Aracil X, et al. Long-term follow-up of local rectal cancer surgery by transanal endoscopic microsurgery. World J Surg. 2008;32(6):1162–7.

    Article  PubMed  Google Scholar 

  20. Nash GM, et al. Long-term survival after transanal excision of T1 rectal cancer. Dis Colon Rectum. 2009;52(4):577–82.

    Article  PubMed  Google Scholar 

  21. Doornebosch PG, et al. Transanal endoscopic microsurgery for T1 rectal cancer: size matters! Surg Endosc. 2012;26(2):551–7.

    Article  PubMed  Google Scholar 

  22. Lezoche G, et al. A prospective randomized study with a 5-year minimum follow-up evaluation of transanal endoscopic microsurgery versus laparoscopic total mesorectal excision after neoadjuvant therapy. Surg Endosc. 2008;22(2):352–8.

    Article  CAS  PubMed  Google Scholar 

  23. Garcia-Aguilar J, et al. A phase II trial of neoadjuvant chemoradiation and local excision for T2N0 rectal cancer: preliminary results of the ACOSOG Z6041 trial. Ann Surg Oncol. 2012;19(2):384–91.

    Article  PubMed  Google Scholar 

  24. Kundel Y, et al. Is local excision after complete pathological response to neoadjuvant chemoradiation for rectal cancer an acceptable treatment option? Dis Colon Rectum. 2010;53(12):1624–31.

    Article  PubMed  Google Scholar 

  25. Callender GG, et al. Local excision after preoperative chemoradiation results in an equivalent outcome to total mesorectal excision in selected patients with T3 rectal cancer. Ann Surg Oncol. 2010;17(2):441–7.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Stipa F, Giaccaglia V, Burza A. Management and outcome of local recurrence following transanal endoscopic microsurgery for rectal cancer. Dis Colon Rectum. 2012;55(3):262–9.

    Article  PubMed  Google Scholar 

  27. Turler A, Schafer H, Pichlmaier H. Role of transanal endoscopic microsurgery in the palliative treatment of rectal cancer. Scand J Gastroenterol. 1997;32(1):58–61.

    Article  CAS  PubMed  Google Scholar 

  28. Tsikitis VL, Wertheim BC, Guerrero MA. Trends of incidence and survival of gastrointestinal neuroendocrine tumors in the United States: a seer analysis. J Cancer. 2012;3:292–302.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Shields CJ, et al. Carcinoid tumors of the rectum: a multi-institutional international collaboration. Ann Surg. 2010;252(5):750–5.

    Article  PubMed  Google Scholar 

  30. Zoller S, et al. Retrorectal tumors: excision by transanal endoscopic microsurgery. Rev Esp Enferm Dig. 2007;99(9):547–50.

    Article  CAS  PubMed  Google Scholar 

  31. Serra Aracil X, et al. Surgical excision of retrorectal tumour using transanal endoscopic microsurgery. Color Dis. 2010;12(6):594–5.

    Article  CAS  Google Scholar 

  32. D’Ambrosio G, et al. Minimally invasive treatment of rectovaginal fistula. Surg Endosc. 2012;26(2):546–50.

    Article  PubMed  Google Scholar 

  33. Quinlan M, et al. Transanal endoscopic microsurgical repair of iatrogenic recto-urethral fistula. Surgeon. 2005;3(6):416–7.

    Article  CAS  PubMed  Google Scholar 

  34. Beunis A, Pauli S, Van Cleemput M. Anastomotic leakage of a colorectal anastomosis treated by transanal endoscopic microsurgery. Acta Chir Belg. 2008;108(4):474–6.

    CAS  PubMed  Google Scholar 

  35. Martins BC, et al. A novel approach for the treatment of pelvic abscess: transrectal endoscopic drainage facilitated by transanal endoscopic microsurgery access. Surg Endosc. 2012;26(9):2667–70.

    Article  CAS  PubMed  Google Scholar 

  36. Baatrup G, Svensen R, Ellensen VS. Benign rectal strictures managed with transanal resection–a novel application for transanal endoscopic microsurgery. Color Dis. 2010;12(2):144–6.

    Article  CAS  Google Scholar 

  37. Franklin Jr ME, Liang S, Russek K. Integration of transanal specimen extraction into laparoscopic anterior resection with total mesorectal excision for rectal cancer: a consecutive series of 179 patients. Surg Endosc. 2013;27(1):127–32.

    Article  PubMed  Google Scholar 

  38. Choi GS, et al. A novel approach of robotic-assisted anterior resection with transanal or transvaginal retrieval of the specimen for colorectal cancer. Surg Endosc. 2009;23(12):2831–5.

    Article  PubMed  Google Scholar 

  39. Choi BJ, Lee SC, Kang WK. Single-port laparoscopic total mesorectal excision with transanal resection (transabdominal transanal resection) for low rectal cancer: initial experience with 22 cases. Int J Surg. 2013;11(9):858–63.

    Article  PubMed  Google Scholar 

  40. Leung AL, et al. Prospective randomized trial of hybrid NOTES colectomy versus conventional laparoscopic colectomy for left-sided colonic tumors. World J Surg. 2013;37(11):2678–82.

    Article  PubMed  Google Scholar 

  41. Leroy J, et al. Laparoscopic resection with transanal specimen extraction for sigmoid diverticulitis. Br J Surg. 2011;98(9):1327–34.

    Article  CAS  PubMed  Google Scholar 

  42. Velthuis S, et al. Feasibility study of transanal total mesorectal excision. Br J Surg. 2013;100(6):828–31; discussion 831.

    Article  CAS  PubMed  Google Scholar 

  43. Sylla P, et al. A pilot study of natural orifice transanal endoscopic total mesorectal excision with laparoscopic assistance for rectal cancer. Surg Endosc. 2013;27(9):3396–405.

    Article  PubMed  Google Scholar 

  44. Rouanet P, et al. Transanal endoscopic proctectomy: an innovative procedure for difficult resection of rectal tumors in men with narrow pelvis. Dis Colon Rectum. 2013;56(4):408–15.

    Article  PubMed  Google Scholar 

  45. Lacy AM, Adelsdorfer C. Totally transrectal endoscopic total mesorectal excision (TME). Color Dis. 2011;13 Suppl 7:43–6.

    Article  Google Scholar 

  46. de Lacy AM, et al. Transanal natural orifice transluminal endoscopic surgery (NOTES) rectal resection: “down-to-up” total mesorectal excision (TME)–short-term outcomes in the first 20 cases. Surg Endosc. 2013;27(9):3165–72.

    Article  PubMed  Google Scholar 

  47. Kumar AS, et al. Transanal endoscopic microsurgery: safe for midrectal lesions in morbidly obese patients. Am J Surg. 2012;204(3):402–5.

    Article  PubMed  Google Scholar 

  48. Muthusamy VR, Chang KJ. Optimal methods for staging rectal cancer. Clin Cancer Res. 2007;13(22 Pt 2):6877s–84s.

    Article  PubMed  Google Scholar 

  49. Allaix ME, et al. Long-term functional results and quality of life after transanal endoscopic microsurgery. Br J Surg. 2011;98(11):1635–43.

    Article  CAS  PubMed  Google Scholar 

  50. Albert MR, et al. Transanal minimally invasive surgery (TAMIS) for local excision of benign neoplasms and early-stage rectal cancer: efficacy and outcomes in the first 50 patients. Dis Colon Rectum. 2013;56(3):301–7.

    Article  PubMed  Google Scholar 

  51. Maslekar S, Pillinger SH, Monson JR. Transanal endoscopic microsurgery for carcinoma of the rectum. Surg Endosc. 2007;21(1):97–102.

    Article  CAS  PubMed  Google Scholar 

  52. Kumar AS, et al. Complications of transanal endoscopic microsurgery are rare and minor: a single institution’s analysis and comparison to existing data. Dis Colon Rectum. 2013;56(3):295–300.

    Article  PubMed  Google Scholar 

  53. Tsai BM, et al. Transanal endoscopic microsurgery resection of rectal tumors: outcomes and recommendations. Dis Colon Rectum. 2010;53(1):16–23.

    Article  PubMed  Google Scholar 

  54. Morino M, et al. Does peritoneal perforation affect short- and long-term outcomes after transanal endoscopic microsurgery? Surg Endosc. 2013;27(1):181–8.

    Article  PubMed  Google Scholar 

  55. Baatrup G, et al. Perforation into the peritoneal cavity during transanal endoscopic microsurgery for rectal cancer is not associated with major complications or oncological compromise. Surg Endosc. 2009;23(12):2680–3.

    Article  PubMed  Google Scholar 

  56. Gavagan JA, Whiteford MH, Swanstrom LL. Full-thickness intraperitoneal excision by transanal endoscopic microsurgery does not increase short-term complications. Am J Surg. 2004;187(5):630–4.

    Article  PubMed  Google Scholar 

  57. Guerrieri M, et al. Transanal endoscopic microsurgery in rectal adenomas: experience of six Italian centres. Dig Liver Dis. 2006;38(3):202–7.

    Article  CAS  PubMed  Google Scholar 

  58. Kreissler-Haag D, et al. Complications after transanal endoscopic microsurgical resection correlate with location of rectal neoplasms. Surg Endosc. 2008;22(3):612–6.

    Article  CAS  PubMed  Google Scholar 

  59. Cocilovo C, et al. Transanal endoscopic excision of rectal adenomas. Surg Endosc. 2003;17(9):1461–3.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Massachusetts General Hospital, Boston, MA, USA

    Joseph E. Bornstein MD, MBA

  2. Division of Gastrointestinal Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Patricia Sylla MD

Authors
  1. Joseph E. Bornstein MD, MBA
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  2. Patricia Sylla MD
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Corresponding author

Correspondence to Joseph E. Bornstein MD, MBA .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, Nevada, USA

    Ovunc Bardakcioglu

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Bornstein, J.E., Sylla, P. (2015). Transanal Endoscopic Surgery (TES). In: Bardakcioglu, O. (eds) Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7531-7_25

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  • DOI: https://doi.org/10.1007/978-1-4899-7531-7_25

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