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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Transanal endoscopic microsurgery--experiences at the Zurich University Hospital]
R Spalinger1, R Schlumpf, F Largiadèr
1Departement Chirurgie, Universitätsspital Zürich.
Praxis
|September 25, 1998
Summary
Transanal endoscopic microsurgery (TEM) offers minimally invasive rectal tumor excision with low morbidity. This study shows TEM is effective for adenomas and T1 rectal carcinomas, with good patient outcomes and minimal recurrence.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Oncology
Context:
- Transanal endoscopic microsurgery (TEM) is a specialized technique for rectal lesions.
- Evaluating TEM's efficacy and safety in a real-world clinical setting is crucial.
Purpose:
- To assess the outcomes of transanal endoscopic microsurgery (TEM) for rectal adenomas and carcinomas.
- To evaluate the safety, efficacy, and recurrence rates of TEM.
Summary:
- A retrospective analysis of 18 patients undergoing TEM for rectal tumors (11 adenomas, 5 carcinomas).
- TEM achieved full-thickness excision with low morbidity and good patient comfort.
- No recurrence was observed in adenoma cases; one T2 carcinoma recurred.
Impact:
- TEM demonstrates excellent results for rectal adenomas and T1 carcinomas, offering precise excision and patient comfort.
- The study highlights TEM as a valuable option for select rectal pathologies, emphasizing its role in specialized centers.
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