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Endoscopic microsurgery of rectal tumors
G Buess1, K Kipfmüller, M Naruhn
1Department of Surgery, University of Mainz, FRG.
Endoscopy
|November 1, 1987
Summary
Transanal endoscopic microsurgery offers accurate, non-invasive removal of rectal adenomas up to 25 cm. This technique shows low complication and recurrence rates, with short hospital stays for patients.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Sessile adenomas and early rectal carcinomas require effective treatment.
- Traditional surgical methods can be invasive with significant recovery times.
Purpose of the Study:
- To evaluate the efficacy and safety of transanal endoscopic microsurgery (TEMS) for rectal neoplasms.
- To assess the complication and recurrence rates associated with TEMS.
Main Methods:
- TEMS was performed on 75 patients with sessile adenomas or early carcinomas.
- A novel endoscopic operating system was utilized for complete tumor removal.
- Procedures were conducted for lesions up to 25 cm from the anal verge.
Main Results:
- Complete adenoma removal was achieved in all cases.
- Complications occurred in 3 patients, with no mortality.
- One adenomatous recurrence was noted during follow-up, requiring further intervention.
- Average hospital stay was short.
Conclusions:
- TEMS is an accurate and non-invasive technique for treating rectal adenomas and early carcinomas.
- The procedure offers advantages including superior preparation accuracy, shorter hospital stays, and low complication and recurrence rates.