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Per anal excision of large rectal adenomas using an endoscopic stapler
S I Allison1, A Adedeji, J S Varma
1Department of Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Journal of the Royal College of Surgeons of Edinburgh
|November 8, 2001
Summary
This study introduces a new technique using an endoscopic linear stapler-cutter for per anal excision of large rectal polyps. This method offers a simpler, safer, and more accessible alternative to transanal endoscopic microsurgery (TEMS).
Area of Science:
- Colorectal Surgery
- Gastrointestinal Endoscopy
- Surgical Innovation
Background:
- Large rectal adenomas pose surgical challenges.
- Current per anal approaches include open excision and transanal endoscopic microsurgery (TEMS).
- TEMS requires specialized equipment and training.
Purpose of the Study:
- To describe the adaptation of an endoscopic linear stapler-cutter for per anal excision of rectal polyps.
- To evaluate its utility for difficult polyps.
- To compare its accessibility and safety with existing methods.
Main Methods:
- Adaptation of a standard endoscopic linear stapler-cutter for per anal rectal polyp excision.
- Application in cases of large or difficult-to-reach rectal adenomas.
- Clinical assessment of ease of use, complication rates, and outcomes.
Main Results:
- The endoscopic linear stapler-cutter was successfully adapted for per anal rectal polyp excision.
- The technique proved effective for difficult polyps.
- It demonstrated a minimal risk of complications.
- It was found to be easier and more accessible than TEMS.
Conclusions:
- Endoscopic linear stapler-cutter offers a viable and advantageous alternative for per anal excision of large rectal adenomas.
- This technique enhances accessibility and safety in managing challenging rectal polyps.
- Further studies may validate its widespread adoption in colorectal surgery.