Transanal Endoscopic Microsurgery (TEM).

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Transanal Endoscopic Microsurgery (TEM)

Transanal endoscopic microsurgery may be considered medically necessary for treatment of clinical T1 rectal adenocarcinomas than cannot be removed using other means of local excision and that meet all of the following criteria:  Located in the middle or upper part of the rectum  Well or moderately differentiated (G1 or G2)  Without lymphadenopathy or microscopic angiolymphatic invasion  Les...

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Transanal Endoscopic Microsurgery (TEM)

Transanal endoscopic microsurgery may be considered medically necessary for treatment of clinical T1 rectal adenocarcinomas than cannot be removed using other means of local excision and that meet all of the following criteria:  Located in the middle or upper part of the rectum  Well or moderately differentiated (G1 or G2)  Without lymphadenopathy or microscopic angiolymphatic invasion  Les...

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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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Local excision of rectal cancer with transanal endoscopic microsurgery (TEM).

BACKGROUND Local excision for T1 rectal cancers with Transanal Endoscopic Microsurgery (TEM) is an accepted standard of care. However for T2/T3 rectal cancers, the high local failure indicates that this is not a valid option. MATERIALS AND METHODS Between 1990 and 2000, 83 patients with rectal adenocarcinoma underwent complete full thickness local excision. The mean diameter of the tumor was ...

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Transanal endoscopic microsurgery.

There is increasing interest in organ-preserving options in the management of rectal cancer. Excision of small, early stage cancers by transanal endoscopic microsurgery (TEM) is an important part of this approach. Carefully selected cancers can be treated successfully by TEM with acceptably low risk of recurrent disease and overall cancer outcomes similar to radical surgery. The impact of recur...

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ژورنال

عنوان ژورنال: Nippon Daicho Komonbyo Gakkai Zasshi

سال: 1999

ISSN: 1882-9619,0047-1801

DOI: 10.3862/jcoloproctology.52.1095