Transanal endoscopic microsurgery: indications, results and controversies.

Abstract:

:Transanal endoscopic microsurgery (TEM) was introduced in 1983 as a minimally invasive technique allowing the resection of adenomas and early rectal carcinomas unsuitable for local or colonoscopic excision which would otherwise require major surgery. After 25 years, there is still much debate about the procedure. This article presents the TEM technique, indications, results and complications, focusing on its role in rectal cancer. The controversial points addressed include long-term results, TEM in high-risk T1 lesions, TEM associated with combined modality therapy (CMT) for invasive rectal cancer and salvage therapy after TEM. The future perspectives for TEM are promising and its association with CMT will probably expand the select group of patients who will benefit from the procedure.

journal_name

Tech Coloproctol

authors

Dias AR,Nahas CS,Marques CF,Nahas SC,Cecconello I

doi

10.1007/s10151-009-0466-6

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

105-11

issue

2

eissn

1123-6337

issn

1128-045X

journal_volume

13

pub_type

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