Transanal Endoscopic Microsurgery

  • M. von Flüe


Transanal endoscopic microsurgery (TEM) is a relatively new, minimally invasive technique for removing broad-based villous adenomas and “low-risk” carcinomas throughout the entire rectum. Using stereooptic and surgical proctoscopes, the tumor is accessible to both the eye and microsurgical instruments (Fig. 23.1). This method was developed more than 10 years ago by Buess et al. [4, 5], first in Cologne and later in Tubingen. It has now become widely established in Germany, England, the United States, and Switzerland [22–27].


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© Springer-Verlag Berlin Heidelberg 1998

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  • M. von Flüe

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