Transanal endoscopic microsurgery for giant circumferential rectal adenomas

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Alberto ArezzoMario Morino

Abstract

Transanal endoscopic microsurgery (TEM) was originally invented by Buess et al. (Chirurg, 1984, 55, 677-80) for the treatment of infraperitoneal rectal adenomas. Its indications have progressively expanded to include larger and more advanced lesions. The aim of the study was to report the results of TEM used for the treatment of circumferential rectal lesions. We retrospectively reviewed the medical records of 17 consecutive patients [median age 69 (32-89) years; nine men] who underwent TEM for a circumferential rectal lesion in our department between September 2010 and January 2015. The median distance from the anal verge was 4 (3-11) cm, the median longitudinal extent was 7 (3-10) cm and the median surface area was 75 (40-255) cm(2) . An end-to-end anastomosis without proximal bowel mobilization was completed endoscopically in all cases. The median operating time was 120 (40-240) min. Persistent, endoscopically uncontrollable endoluminal bleeding in one patient was successfully treated with a second TEM procedure. One patient underwent preoperative radiotherapy for adenocarcinoma detected at the preoperative assessment. Surgical histology showed a pT3 cancer in one patient who refused further surgery, a pT2 cancer in two who ...Continue Reading

References

Sep 1, 2005·International Journal of Colorectal Disease·Hartmut SchäferArnulf H Hölscher
Dec 8, 2009·Diseases of the Colon and Rectum·Marco Ettore AllaixMario Morino
Jan 29, 2011·International Journal of Colorectal Disease·Jose M RamirezMariano Martinez
Jan 15, 2013·Techniques in Coloproctology·M MorinoM E Allaix
Mar 23, 2013·Techniques in Coloproctology·R J Heald
Jun 24, 2014·International Journal of Colorectal Disease·D MondalA Slater

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Citations

Feb 23, 2020·Minerva chirurgica·Francesco CorattiFabio Cianchi
Feb 6, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Jeremie H Lefevre
Sep 8, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Liu RanXia Lijian

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