RV: What's new for '(TEM) -"Rectum"[Mesh] OR "Rectal Neoplasms"[Mesh] AND "Microsurgery"[Mesh]' in PubMed
Riki Belda
De: My NCBI [mailto:efb...@mail.nih.gov]
Enviado el: martes, 03 de noviembre de 2009 13:21
Para: riki...@hotmail.com
Asunto: What's new for '(TEM) -"Rectum"[Mesh] OR "Rectal
Neoplasms"[Mesh] AND "Microsurgery"[Mesh]' in PubMed
This message contains My NCBI what's new results from the National Center
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Sender's message: Nueva Bibliografía del TEM
Sent on Tuesday, 2009 Nov 03
Search "Rectum"[Mesh] OR "Rectal Neoplasms"[Mesh] AND
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PubMed Results |
Items 1 -4 of 4
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World J Gastroenterol. 2009 Aug 21;15(31):3851-4. Surgical resection of rectal adenoma: a rapid review.Calixto Garcia Hospital, J and University, Vedado, Havana, 10600, Cuba. dcasa...@hotmail.com Transanal excision (TE), endoscopic transanal resection (ETAR) and transanal endoscopic microsurgery (TEM) can be used to remove adenomatous polyps. However, their use is limited by the size or location of the tumor. TE is limited to the lower rectum, TEM offers better access to lesions in the middle and upper rectum, and ETAR is used less frequently than it deserves for resection of rectal lesions. PMCID: 2731246 |
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PMID: 19701964 [PubMed - indexed for MEDLINE] |
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Rev Esp Enferm Dig. 2009 Jun;101(6):445-6. [Pneumomediastinum and subcutaneous emphysema like strange complications after transanal endoscopic microsurgery][Article in Spanish] |
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PMID: 19630473 [PubMed - indexed for MEDLINE] |
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Tech Coloproctol. 2009 Jun;13(2):105-11. Epub 2009 May 29. Transanal endoscopic microsurgery: indications, results and controversies.Dias AR, Nahas CS, Marques CF, Nahas SC, Cecconello I. Department of Gastroenterology, Division of Colorectal Surgery, Hospital das Clinicas, University of Sao Paulo, Sao Paulo, Brazil. Transanal endoscopic microsurgery (TEM) was introduced in 1983 as a minimally invasive technique allowing the resection of adenomas and early rectal carcinomas unsuitable for local or colonoscopic excision which would otherwise require major surgery. After 25 years, there is still much debate about the procedure. This article presents the TEM technique, indications, results and complications, focusing on its role in rectal cancer. The controversial points addressed include long-term results, TEM in high-risk T1 lesions, TEM associated with combined modality therapy (CMT) for invasive rectal cancer and salvage therapy after TEM. The future perspectives for TEM are promising and its association with CMT will probably expand the select group of patients who will benefit from the procedure. |
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PMID: 19484350 [PubMed - indexed for MEDLINE] |
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Arq Gastroenterol. 2008 Oct-Dec;45(4):268-74. [Transanal endoscopic microsurgery in the treatment of rectal tumors: a prospective study in 50 patients][Article in Portuguese] Moraes Rda S, Malafaia O, Telles JE, Trippia MA, Buess GF, Coelho JC. Serviço de Cirurgia do Aparelho Digestivo, UFPR, Curitiba, PR. rdsm...@ig.com.br BACKGROUND: The medical literature accepts local resection as a valuable option in selected cases of rectal tumors. Selection of patients requires an exact perioperative estimation of risks with clinical and histopathological examination. Transanal endoscopic microsurgery aims a safe resection of the tumoral area which leads up to the cure. AIM: To evaluate transanal endoscopic microsurgery results in a follow-up time of 18 months. METHODS: From April 2002 to April 2006, 50 patients with rectal tumors were submitted to transanal endoscopic microsurgery, chosen by clinical history and lesion characteristics. The inclusion criteria were: sessile adenomas larger than 3 cm and smaller than 8 cm, not circumferentially distributed; intra epithelial neoplasia of high degree; and rectal carcinoma pT1, and special cases of pT2. All these rectal tumors were submitted to the same surgical act. RESULTS: The final histopathological results reveal 9 adenoma, 26 intra-epithelial neoplasia of high degree, 13 carcinoma (9 pT1-4 pT2) and 2 carcinoid. The lowest age was 25 and the higher, 92 years-old. The smallest resected tumor had 64 mm(2) (carcinoid) and the largest (adenoma), 90 cm(2). Operating time was in average 90 minutes and the overall time statement, 5 days. There was one death not related with the method. One patient with low risk carcinoma pT1 presented recurrence 18 months after transanal endoscopic microsurgery and was submitted to curative rectosigmoidectomy. It was proven a residual tumor after local surgery in two patients and the most important complication was one recto-vaginal fistula. The overall complications rate was 9%. CONCLUSION: Today transanal endoscopic microsurgery is chosen as the ideal technique for the treatment of sessile adenomas, intraepithelial neoplasia of high degree and rectal carcinoma pT1. |
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PMID: 19148353 [PubMed - indexed for MEDLINE] |
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