Transanal resection for villous adenomas using the Fansler proctoscope

Area of Science:

• Colorectal Surgery
• Surgical Oncology
• Gastroenterology

Background:

• Benign rectal tumors are common and often necessitate surgical intervention.
• Transanal Endoscopic Microsurgery (TEM) is widely regarded as the gold standard for transanal tumor resection.
• Alternative, cost-effective methods are sought for treating these conditions.

Purpose of the Study:

• To evaluate the efficacy and outcomes of transanal resection using the Fansler proctoscope for benign rectal tumors.
• To compare the results of Fansler proctoscope-assisted surgery with established TEM procedures.
• To assess the Fansler proctoscope as a potentially more economical and user-friendly alternative.

Main Methods:

• Retrospective analysis of 34 patients undergoing transanal resection with the Fansler proctoscope.
• Inclusion of patients with benign rectal tumors following comprehensive pre-operative assessment.
• Data collection on surgical outcomes and procedure feasibility.

Main Results:

• The Fansler proctoscope approach yielded results comparable to those reported for TEM in the literature.
• The method proved to be significantly more economical.
• The technique was found to be easier to learn and implement.

Conclusions:

• The Fansler proctoscope represents a viable and effective alternative to TEM for the surgical treatment of benign rectal tumors.
• This approach offers advantages in terms of cost and ease of learning.
• Further investigation may support its broader adoption in clinical practice.