Video endoscopic transanal-rectal tumor excision

American Journal of Surgery
L L SwanstromL Cagle

Abstract

Transanal resection of benign and selected malignant rectal tumors is a well accepted surgical technique. The use of a stereoscopic microsurgical technique, as originally described by Buess et al in 1984, has been shown to improve the results of standard transanal resection by allowing precise, full thickness resections up to 24 cm from the anal verge. Transanal endoscopic microsurgery (TEM) has failed to gain widespread popularity for two reasons: The proprietary instrument set is expensive and complex ($68,000 and 30 components), and the procedure is difficult to master technically. We present our results with a modification of the TEM instrument that incorporates a standard laparoscope and video camera as well as standard laparoscopic instruments. Four surgeons have been trained to date. Details of the training curriculum are presented. The technique of videoendoscopic transanal tumor resection (VTEM) is described. A prospective data base was maintained of all VTEM cases. This was reviewed for this study to determine indications, operative times, complications and outcomes. Four surgeons performed 27 VTEM cases between August 1994 and June 1996. The average age was 69 years and the majority (16) of patients were ASA III. Pre...Continue Reading

References

Feb 1, 1994·Diseases of the Colon and Rectum·S StipaF Stipa

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Citations

Oct 5, 2001·Diseases of the Colon and Rectum·S Sengupta, J J Tjandra
Sep 27, 2001·World Journal of Surgery·N DemartinesF H Harder
Sep 1, 2005·International Journal of Colorectal Disease·Hartmut SchäferArnulf H Hölscher
Feb 8, 2007·Surgical Endoscopy·T KinoshitaH Yamada
Dec 15, 2012·Surgical Endoscopy·Ovunc Bardakcioglu
Aug 6, 2008·Techniques in Coloproctology·J J Ribeiro da Rocha, O Féres
Feb 16, 2005·Diseases of the Colon and Rectum·Philippa F MiddletonGuy J Maddern
Sep 15, 2000·The Surgical Clinics of North America·D N Reed, G C Vitale
Jan 1, 2000·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland· Ikeda Sugimachi
May 10, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tohru NakagoeHiroyoshi Ayabe
Mar 18, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Christopher J Decker
Mar 8, 2002·Annals of Surgery·Christopher D SuttonMichael J Kelly
Jan 9, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·K AzimuddinJ F Reed
Sep 1, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G DafnisW Graf
Sep 1, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P PalmaS Post
Mar 2, 2005·Annales de chirurgie·C Gouillat, L de Calan
Oct 1, 2008·Acta Cirúrgica Brasileira·José Joaquim Ribeiro da Rocha, Omar Féres
May 25, 2002·The British Journal of Surgery·T NakagoeH Ayabe
Nov 16, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jose M RamirezVicente Aguilella
Sep 24, 2020·Acta Cirúrgica Brasileira·Roberta Denise Alkmin Lopes de LimaJosé Joaquim Ribeiro da Rocha

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