Skip to main content
SpringerLink
Log in

Transanal Endoscopic Microsurgery

  • Chapter
Surgical Management of Anorectal and Colonic Diseases

  • 45 Accesses

Abstract

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].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Adair HM, Everett WG (1983) Villous and tubulo-villous adenomas of the large bowel. J R Coll Surg Edinb 28:318–323

    CAS  PubMed  Google Scholar 

  2. Banerjee AK, Jehle EC, Shorthouse AJ, Buess G (1995) Local excision of rectal tumours. Br J Surg 82:1165–1173

    Article  CAS  PubMed  Google Scholar 

  3. Banerjie AK, Jehle EC, Kreis ME et al (1996) Prospective study of the proctographic and functional consequences of transanal endoscopic microsurgery. Br J Surg 83:211–213

    Article  Google Scholar 

  4. Buess GF, Mentges B (1992) Transanal endoscopic microsurgery (TEM). Minim Invasive Ther 1:101–109

    Article  Google Scholar 

  5. Buess G, Mentges B, Manncke K, Starlinger M, Becker HD (1992) Technique and results of transanal endoscopic microsurgery in early rectal cancer. Am J Surg 163:63–70

    Article  CAS  PubMed  Google Scholar 

  6. Chiu YS, Spencer RJ (1978) Villous lesions of the colon. Dis Colon Rectum 22:493–495

    Article  Google Scholar 

  7. Christiansen J (1980) Excision of mid-rectal lesion by the Kraske sacral approach. Br J Surg 67:651–652

    Article  CAS  PubMed  Google Scholar 

  8. Cohen AM, Wood WC, Gunderson LL, Shinnar M (1980) Pathological studies in rectal cancer. Cancer 45:2965–2968

    Article  CAS  PubMed  Google Scholar 

  9. Cuthbertson AM, Hughes ES, Phil E (1984) Metastatic “early” colorectal cancer. Aust N Z J Surg 54:549–551

    Article  CAS  PubMed  Google Scholar 

  10. Farin G (1993) Pneumatically controlled bipolar cutting instrument. Endoscopic surgery and allied technologies 1:97–101

    CAS  PubMed  Google Scholar 

  11. Gemsenjager E (1989) Transverse pelvic floor division for the posterior approach to the rectum and anus. Int J Colorect Dis 4:67–72

    Article  CAS  Google Scholar 

  12. Hemingway D, Flett M, McKee RF, Finlay IG (1996) Sphincter function after transanal endoscopic microsurgical excision of rectal tumours. Br J Surg 83:51–52

    Article  CAS  PubMed  Google Scholar 

  13. Huber AK, von Flue M (1990) Parasacral surgery for curative treatment of rectal cancer. Int J Colorect Dis 6:86–88

    Article  Google Scholar 

  14. Jehle EC, Starlinger MJ, Kreis ME, Buess G (1992) Alterations of anal sphincter functions following transanal endoscopic microsurgery (TEM) for rectal tumors. Gastroenterology 102:365

    Google Scholar 

  15. Kanehira E, Raestrup H, Schurr MO, Wehrmann M, Manncke K, Buess GF (1993) Transanal endoscopic microsurgery using a newly designed multifunctional bipolar cutting and monopolar coagulating instrument. End Surg 1:102–106

    CAS  Google Scholar 

  16. Mason AY (1976) Rectal cancer: the spectrum of selective surgery. Proc R Soc Med 69:237–244

    CAS  PubMed Central  PubMed  Google Scholar 

  17. Mason AY (1977) Transsphincteric approach to rectal lesion. Surg Ann 6:171–194

    Google Scholar 

  18. Mason AY (1980) The transsphincteric approach. In: Wel-vaart R (ed) Colorectal cancer. Nijkoff, Boston, pp 171–234

    Google Scholar 

  19. Meissner K, Jiriskowski B, Szecsi T (1996) Der paracoccy-geale transsphinktere Zugang nach Mason: gute Ergebnisse nur bei hochselektiver Indikationsstellung? Chirurg 67:145–149

    CAS  PubMed  Google Scholar 

  20. Morson BC (1966) Factors influencing the prognosis of early cancer of the rectum. Proc R Soc Med 59:607–608

    CAS  PubMed Central  PubMed  Google Scholar 

  21. Parks AG, Stuart AE (1973) The management of villous tumours of the rectum. Br J Surg 60:688–695

    Article  CAS  PubMed  Google Scholar 

  22. Saclarides TJ, Smith L, Ko ST, Orkin B, Buess G (1992) Transanal endoscopic microsurgery. Dis Colon Rectum 35:1183–1191

    Article  CAS  PubMed  Google Scholar 

  23. Said S, Strippel D (1996) 10-jahrige Erfahrungen mit der transanalen endoskopischen Mikrochirurgie. Chirurg 67:139–144

    Google Scholar 

  24. Southwood WFM (1962) Villous tumours of the large intestine: their pathogenesis, symptomatology, diagnosis and management. Ann R Coll Surg Engl 30:23

    CAS  PubMed Central  PubMed  Google Scholar 

  25. Steele RJC, Hershman MJ, Mortensen NJM, Armitage NCM, Scholefield JH (1996) Transanal endoscopic microsurgery-initial experience from three centres in the United Kingdom. Br J Surg 83:207–210

    Article  CAS  PubMed  Google Scholar 

  26. Thompson BW, Tucker WE (1987) Transsphincteric approach to lesions of the rectum. South Med J 80:41–43

    Article  CAS  PubMed  Google Scholar 

  27. von Flue M, Harder F (1994) Transanal endoskopische Mikrochirurgie: Indikation und Technik. Schweiz Med Wo-chenschr 124:1800–1806

    Google Scholar 

  28. Walsh RM, Ackroyd FW, Shellito PC (1992) Endoscopic resection of large sessile colorectal polyps. Gastrointest En-dosc 38:303

    Article  CAS  Google Scholar 

Download references

Authors
  1. M. von Flüe
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Départment de Chirurgie, Policlinique de Chirurgie, Hôpital Cantonal, Rue Micheli-du-Crest 24, CH-1211, Genève 4, Switzerland

    Marc-Claude Marti

  2. Service de Chirurgie A, Centre Hospitalier Universitaire Vaudois, CH-1011, Lausanne, Switzerland

    Jean-Claude Givel

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

von Flüe, M. (1998). Transanal Endoscopic Microsurgery. In: Marti, MC., Givel, JC. (eds) Surgical Management of Anorectal and Colonic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10169-8_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-10169-8_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-10171-1

  • Online ISBN: 978-3-662-10169-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation