Transanal endoscopic operation: a new proposal

Area of Science:

• Colorectal Surgery
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Transanal surgery offers various techniques for rectal tumor local excision.
• Established methods include conventional transanal technique, posterior access surgery, therapeutic colonoscopy, and transanal endoscopic surgery.

Purpose of the Study:

• To introduce and evaluate a new transanal endoscopic operation (TEO) technique.
• To assess the efficacy of a specifically designed surgical proctoscope for TEO.
• To compare TEO outcomes with other available transanal resection methods.

Main Methods:

• The study involved 32 patients undergoing the novel transanal endoscopic operation (TEO).
• A custom-designed surgical proctoscope was utilized for the TEO procedure.
• A meta-analysis compared recurrence rates, complications, and re-operation rates with existing techniques.

Main Results:

• The transanal endoscopic operation (TEO) yielded favorable results, consistent with existing literature.
• The specialized surgical proctoscope proved efficient and cost-effective.

Conclusions:

• The novel transanal endoscopic operation (TEO) is easily performed with the specialized proctoscope.
• TEO offers comparable outcomes to other endoscopic transanal resection techniques.
• TEO presents an advantageous alternative due to its lower cost and greater availability.