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Transanal Endoscopic Surgery for Rectal Cancer: Indications, Staging, and Perioperative Considerations

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The SAGES Manual of Colorectal Surgery

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Abstract

Total mesorectal excision (TME), which removes the rectum and mesorectum, carries with it significant morbidity and mortality. Transanal endoscopic surgery (TES) is a form of rectal sparing surgery utilized for rectal polyps of all sizes and for selected early rectal cancers. Predicting the risk of lymph node metastasis is an imperfect science; however, several well-described histologic markers are available to help guide which early rectal cancers might be at low risk for occult lymph node metastasis and where transanal endoscopic surgery might be a reasonable oncologic choice.

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Authors and Affiliations

  1. The Oregon Clinic, PC, Gastrointestinal and Minimally Invasive Surgery Division, Providence Cancer Institute, Oregon Health and Science University, Portland, OR, USA

    Mark H. Whiteford

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  1. Mark H. Whiteford
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Correspondence to Mark H. Whiteford .

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Editors and Affiliations

  1. Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA

    Patricia Sylla

  2. Keck School of Medicine of USC, Los Angeles, CA, USA

    Andreas M. Kaiser

  3. Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA

    Daniel Popowich

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

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Whiteford, M.H. (2020). Transanal Endoscopic Surgery for Rectal Cancer: Indications, Staging, and Perioperative Considerations. In: Sylla, P., Kaiser, A., Popowich, D. (eds) The SAGES Manual of Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24812-3_39

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  • DOI: https://doi.org/10.1007/978-3-030-24812-3_39

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  • Online ISBN: 978-3-030-24812-3

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