Abstract
Transanal endoscopic microsurgery (TEM) represents the embodiment of natural orifice translumenal endoscopic surgery (NOTES). Its indications range from excision of benign lesions of the rectum to select cancers after neoadjuvant therapy. It has the advantage of resecting the lesion without entering the abdominal cavity which translates into less morbidity and mortality. TEM also offers chances for sphincter preservation in very low rectal lesions. We describe herein the indications of TEM and the workup of patients presenting with rectal tumors, and then, we explain the technical aspects of this procedure.
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References
Allaix ME, Arezzo A, Giraudo G, Morino M. Transanal endoscopic microsurgery vs. laparoscopic total mesorectal excision for T2N0 rectal cancer. J Gastrointest Surg. 2012;16:2280–7.
De Graaf EJ, Doornebosch PG, Tollenaar RA, et al. Transanal endoscopic microsurgery versus total mesorectal excision of T1 rectal adenocarcinomas with curative intention. Eur J Surg Oncol. 2009;35:1280–5.
Clancy C, Burke JP, Albert MR, et al. Transanal endoscopic microsurgery versus standard transanal excision for the removal of rectal neoplasms: a systematic review and meta-analysis. Dis Colon Rectum. 2015;58(2):254–61.
Bochove-Overgaauw DM, Beerlage HP, Bosscha K, Gelderman WA. Transanal endoscopic microsurgery for correction of rectourethral fistulae. J Endourol. 2006;20(12):1087–90.
Kato K, Saito T, Matsuda M, Imai M, Kasai S, Mito M. Successful treatment of a rectal anastomotic stenosis by transanal endoscopic microsurgery (TEM) using the contact Nd:YAG laser. Surg Endosc. 1997;11(5):485–7.
Winde G, Nottberg H, Keller R, Schmid KW, Bünte H. Surgical cure for early rectal carcinomas (T1). Transanal endoscopic microsurgery vs. anterior resection. Dis Colon Rectum. 1996;39(9):969–76.
Lezoche G, Baldarelli M, Guerrieri M, 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.
Marks JH, Frenkel JL, Greenleaf CE, D’Andrea AP. Transanal endoscopic microsurgery with entrance into the peritoneal cavity: is it safe? Dis Colon Rectum. 2014;57:1176–82.
Valsdottir EB, Yarandi SS, Marks JH, Marks GJ. Quality of life and fecal incontinence after transanal endoscopic microsurgery for benign and malignant rectal lesions. Surg Endosc. 2014;28(1):193–202.
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Salem, J., Marks, J.H. (2017). Transanal Endoscopic Microsurgery. In: Romanelli, J., Desilets, D., Earle, D. (eds) NOTES and Endoluminal Surgery. Clinical Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-319-50610-4_22
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DOI: https://doi.org/10.1007/978-3-319-50610-4_22
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