Related Experiment Video
Updated: Jun 3, 2026
12:45
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Potential of transanal endoscopic microsurgery]
L Starý1, I Klementa, P Zboril
1I. Chirurgická klinika LF UP a FN Olomouc. stary.l@email.cz
Summary
Transanal endoscopic microsurgery (TEM) is a standard procedure for early rectal tumors, offering an alternative to conventional surgery. This technique provides minimal complications and morbidity when strict criteria and radical resection principles are followed.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Context:
- Transanal endoscopic microsurgery (TEM) has evolved over seven years.
- Evaluating its application in a prospective cohort of 393 patients.
Purpose:
- To assess the efficacy and safety of TEM for various rectal conditions.
- To determine TEM's role in treating rectal tumors, stenosis, and other pathologies.
Summary:
- TEM was used for 393 patients, primarily for rectal tumors (371 cases, 82 malignant).
- Complications occurred in 6% of tumor cases, with no postoperative mortality.
- Other indications included rectal stenosis, perirectal fluid collections, bleeding, and ulcerous lesions.
Impact:
- TEM is a standard therapeutic option for early-stage rectal tumors.
- It offers comparable outcomes to conventional surgery with reduced morbidity and complications.
- Strict adherence to indication criteria and radical resection principles ensures optimal results.
