Transanal endoscopic microsurgery

• DOI: 10.1007/bf02235583
• Publication Date: 2005-10-21T13:26:05Z
• Authors: Dina Lev-Chelouche; David Margel; Gideon Goldman; Micha J. Rabau
• Keywords: Radical surgery; Colorectal Surgery

The aim of this study was to describe a single institution's experience with transanal endoscopic microsurgery in patients benign and malignant rectal tumors.Between January 1992 April 1998, 75 mean follow up 38 months, underwent excision (46) or (29) tumors, located 3 18 cm from the dentate line.A total 46 (6.5 percent) tumors conversion radical surgery owing tumor size. During follow-up period, recurrence observed four (9 patients, three whom were managed by repeat microsurgery, whereas one required surgery. Histologic staging T1 (10), T2 T3 (9). Seven either inadequate resection margins complimented Of remaining 22 11 received adjuvant radiation therapy had no further treatment. Four (18 recurrent disease, which two, one, laser ablation one. No cancer-related deaths during period. There operative mortality cardiac-crippled patient. Postoperative complications mainly minor character included fever, urinary retention, bleeding; none reintervention. Rectourethral fistula developed patient who for malignancy. Fecal soiling transient persisted two.Transanal is safe precise technique that well tolerated even high risk patients. Transanal may become procedure choice selected early neoplasms.