Transanal endoscopic microsurgery for large benign rectal tumors; where are the limits?

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The role of transanal endoscopic microsurgery for rectal tumors.

PURPOSE The management of rectal tumors is complex, because of the balance between preserving rectoanal function and curing the patient. Transanal endoscopic microsurgery (TEM) is both an effective treatment for benign rectal tumors and early cancers, and a diagnostic tool for determining tumor depth, or for residual tumors of post endoscopic mucosal resection. In the present study, we evaluate...

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Transanal endoscopic microsurgery for rectal tumors: a review.

Since its introduction in 1983, transanal endoscopic microsurgery (TEM) has emerged as a safe and effective method to treat rectal lesions including benign tumors, early rectal cancer, and rectal fistulas and strictures. This minimally invasive technique offers the advantages of superior visualization of the lesion and greater access to proximal lesions with lower margin positivity and specimen...

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Transanal endoscopic microsurgery for rectal cancer.

BACKGROUND Transanal endoscopic microsurgery has recently gained acceptance as an alternative minimally invasive surgical technique for the curative management of large rectal adenomas and selected early rectal carcinomas. OBJECTIVES To analyze our 8 year experience using TEM for the management of rectal cancer. METHODS Local resection by TEM was performed in patients with benign tumors and...

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Transanal endoscopic microsurgery resection of rectal tumors: outcomes and recommendations.

PURPOSE Transanal endoscopic microsurgery provides a minimally invasive alternative to radical surgery for excision of benign and malignant rectal tumors. The purpose of this study was to review our experience with transanal endoscopic microsurgery to clarify its role in the treatment of different types of rectal pathology. METHODS A prospective database documented all patients undergoing tra...

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Transanal Endoscopic Microsurgery (TEM) for Rectal Neoplasms

Introduction: The abdominal approach for the treatment of rectal tumors is associated with a considerable rate of morbidity. Transanal Endoscopic Microsurgery (TEM) is an alternative technique that is less invasive than radical surgery, and therefore has a lower associated morbidity. Moreover, with proper patient selection, TEM presents oncological outcomes comparable to radical surgery. The ai...

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ژورنال

عنوان ژورنال: International Journal of Surgery

سال: 2016

ISSN: 1743-9191

DOI: 10.1016/j.ijsu.2016.03.041