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Related Experiment Videos

Transanal endoscopic microsurgery: a necessary requirement?

H S Tilney1, A G Heriot, J N L Simson

  • 1Department of Surgical Oncology and Technology, St Mary's Hospital, London, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|September 15, 2006
PubMed
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Transanal endoscopic microsurgery (TEM) is valued for rectal lesion management, though its availability varies in the UK. Most colorectal surgeons use or refer for TEM, indicating its recognized importance in clinical practice.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Oncology

Background:

  • Transanal endoscopic microsurgery (TEM) adoption in UK practice shows variable uptake.
  • Assessing the current availability, application, and referral patterns of TEM is crucial.

Purpose of the Study:

  • To evaluate the current status of transanal endoscopic microsurgery (TEM) within UK colorectal surgery practices.
  • To understand surgeon perceptions regarding TEM's application in various rectal tumor scenarios.

Main Methods:

  • A national questionnaire survey distributed to consultant members of the Association of Coloproctology.
  • Data collected on surgical practice, TEM availability, usage, referral patterns, and expert opinions on TEM for specific rectal lesions.

Related Experiment Videos

Main Results:

  • 142 responses from 116 hospitals revealed TEM availability in 18% of centers, with 72% of surgeons performing or referring for TEM.
  • Of 305 TEM procedures, 206 were referred cases, highlighting the centralized nature of the service.
  • 85% of consultants view TEM as essential for optimal rectal lesion management, with specific preferences for mid-to-high rectal lesions.

Conclusions:

  • Transanal endoscopic microsurgery (TEM) is recognized as a significant tool for managing rectal lesions.
  • Despite limited availability, existing TEM centers appear to provide sufficient resources, but centralized audit remains important.