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Search "Rectum"[Mesh] OR "Rectal Neoplasms"[Mesh] AND "Microsurgery"[Mesh]
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Items 1 - 3 of 3

1. Rozhl Chir. 2010 Dec;89(12):770-3.
[Potential of transanal endoscopic microsurgery].
[Article in Czech]
Starý L, Klementa I, Zboril P, Skalický P, Svach I, Neoral C.
I. Chirurgická klinika LF UP a FN Olomouc. sta...@email.cz
Abstract
AIM: Evaluate our more than seven year experience with transanal endoscopic microsurgical technique (TEM).
MATERIALS AND METHODS: The authors prospectively evaluated a set of 393 patients who were operated using the TEM method.
RESULTS: Out of 393 patients, 371 (94%) were indicated for the procedure for rectal tumor; 82 of these tumors were malignant. Nine patients underwent a rectoplasty for rectal stenosis, and in five patients drainage of a perirectal fluid collection was performed. Four patients underwent the surgical procedure for bleeding from the rectal tumor and in four patients an ulcerous lesion was removed from the rectum. Complications in the set of patients with malignant or benign tumors of the rectum occurred in 21 (6%) cases. Ten patients had bleeding, three patients underwent surgical revision for peritonitis with dehiscence of the intraabdominal bowel suture after transmural resection, periproctal abscess occurred in five patients, rectovaginal fistula was observed in three patients. There was no postoperative mortality.
CONCLUSION: Transanal endoscopic microsurgery has become a standard therapeutic procedure. In oncosurgery, for early stages of rectal tumors, it is an equivalent alternative to conventional surgery with the advantages of minimal morbidity, mortality, postoperative complications, and sexual and urological dysfunctions. This, however, is only true when indication criteria are strictly adhered to and principles of resection radicality are maintained.
PMID: 21404519 [PubMed - indexed for MEDLINE]
Related citations
2. Acta Chir Belg. 2010 Nov-Dec;110(6):616-7.
Stenosis of a colorectal anastomosis solved by transanal endoscopic microsurgery combined with laparoscopy.
de Rycker J, Pauli S, Van Cleemput M.
Department of Abdominal Surgery, Monica-Hospital, Campus Middelares, Deurne, Belgium. jder...@skynet.be
Abstract
OBJECTIVE: The objective of this case report is to present a minimally invasive technique for solving an anastomotic colorectal stenosis using Transanal Endoscopic Microsurgery (T.E.M.) in combination with laparoscopy.
SUMMARY: Often a re-intervention is indicated for the resolution of an anastomotic (sub-) obstruction. This re-intervention is associated with the morbidity and mortality of a laparotomy and a prolonged hospital stay. In the case here presented, a 68-year-old man underwent a laparoscopic rectosigmoid resection for a rectal adenocarcinoma. An end-to-end circular stapled colorectal anastomosis was performed. At first without any postoperative problems, the patient presented with a stenosis of the anastomosis 6 months postoperatively. This stenosis did not result in a total obstruction but was sufficiently advanced to cause faecal impaction and discomfort, which was confirmed using a retrograde gastrografine bowel study. Colonoscopic dilatations were insufficient and after several days the patient experienced a recurrence of the original stenosis. A minimally invasive re-intervention with T.E.M. was performed in combination with laparoscopy to solve the stenosis. To our knowledge, this technique has not yet been described.
CONCLUSION: In this paper we describe a possible minimally invasive technique to avoid laparotomy after colorectal or colo-anal anastomotic stenosis. Both the duration of the hospital stay and patient morbidity can be reduced in this way.
PMID: 21337846 [PubMed - indexed for MEDLINE]
Related citations
3. Ann Ital Chir. 2010 Jul-Aug;81(4):269-74; discussion 283.
[Transanal endocopic microsurgery (TEM) in advanced rectal cancer disease treatment].
[Article in Italian]
Paci M, Scoglio D, Ursi P, Barchetti L, Fabiani B, Ascoli G, Lezoche G.
Endolaparoscopic Surgery and Advanced Technology Unit, Department of Surgery Paride Stefanini Policlinico Umberto I, Rome, Italy. marcel...@yahoo.it
Abstract
After Heald's revolution in 1982, who introduced the total mesorectal excision, for improve the results in terms of recurrance and survival rate, there is a need to explore new therapeutic options in treatment of sub-peritoneal rectal cancer. In particular, local excision represent more often a valid technique for non advanced rectal cancer treatment in comparison with the more invasive procedure, especially in elderly and/or in poor health patients. The introduction of TEM by Buess (transanal endoscopy microsurgery), has extended the local treatment also to classes of patients who would normally have been candidates for TME. The author gives literature's details and his experience in the use of TEM for early rectal cancer sub-peritoneal. The aim of the study is to analyze short and long term results in terms of local recurrence and survival rate comparing TEM technique with the other transanal surgery in rectal cancer treatment. Preoperative Chemio-Radio therapy and rigorous Imaging Staging are the first steps to planning surgery. It's time, for local rectal cancer, has come to make the devolution a few decades ago has been accomplished in the treatment of breast cancer
PMID: 21322272 [PubMed - indexed for MEDLINE]
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1.	Rozhl Chir. 2010 Dec;89(12):770-3. [Potential of transanal endoscopic microsurgery]. [Article in Czech] Starý L, Klementa I, Zboril P, Skalický P, Svach I, Neoral C. I. Chirurgická klinika LF UP a FN Olomouc. sta...@email.cz Abstract AIM: Evaluate our more than seven year experience with transanal endoscopic microsurgical technique (TEM). MATERIALS AND METHODS: The authors prospectively evaluated a set of 393 patients who were operated using the TEM method. RESULTS: Out of 393 patients, 371 (94%) were indicated for the procedure for rectal tumor; 82 of these tumors were malignant. Nine patients underwent a rectoplasty for rectal stenosis, and in five patients drainage of a perirectal fluid collection was performed. Four patients underwent the surgical procedure for bleeding from the rectal tumor and in four patients an ulcerous lesion was removed from the rectum. Complications in the set of patients with malignant or benign tumors of the rectum occurred in 21 (6%) cases. Ten patients had bleeding, three patients underwent surgical revision for peritonitis with dehiscence of the intraabdominal bowel suture after transmural resection, periproctal abscess occurred in five patients, rectovaginal fistula was observed in three patients. There was no postoperative mortality. CONCLUSION: Transanal endoscopic microsurgery has become a standard therapeutic procedure. In oncosurgery, for early stages of rectal tumors, it is an equivalent alternative to conventional surgery with the advantages of minimal morbidity, mortality, postoperative complications, and sexual and urological dysfunctions. This, however, is only true when indication criteria are strictly adhered to and principles of resection radicality are maintained.
	PMID: 21404519 [PubMed - indexed for MEDLINE]
	Related citations

2.	Acta Chir Belg. 2010 Nov-Dec;110(6):616-7. Stenosis of a colorectal anastomosis solved by transanal endoscopic microsurgery combined with laparoscopy. de Rycker J, Pauli S, Van Cleemput M. Department of Abdominal Surgery, Monica-Hospital, Campus Middelares, Deurne, Belgium. jder...@skynet.be Abstract OBJECTIVE: The objective of this case report is to present a minimally invasive technique for solving an anastomotic colorectal stenosis using Transanal Endoscopic Microsurgery (T.E.M.) in combination with laparoscopy. SUMMARY: Often a re-intervention is indicated for the resolution of an anastomotic (sub-) obstruction. This re-intervention is associated with the morbidity and mortality of a laparotomy and a prolonged hospital stay. In the case here presented, a 68-year-old man underwent a laparoscopic rectosigmoid resection for a rectal adenocarcinoma. An end-to-end circular stapled colorectal anastomosis was performed. At first without any postoperative problems, the patient presented with a stenosis of the anastomosis 6 months postoperatively. This stenosis did not result in a total obstruction but was sufficiently advanced to cause faecal impaction and discomfort, which was confirmed using a retrograde gastrografine bowel study. Colonoscopic dilatations were insufficient and after several days the patient experienced a recurrence of the original stenosis. A minimally invasive re-intervention with T.E.M. was performed in combination with laparoscopy to solve the stenosis. To our knowledge, this technique has not yet been described. CONCLUSION: In this paper we describe a possible minimally invasive technique to avoid laparotomy after colorectal or colo-anal anastomotic stenosis. Both the duration of the hospital stay and patient morbidity can be reduced in this way.
	PMID: 21337846 [PubMed - indexed for MEDLINE]
	Related citations

3.	Ann Ital Chir. 2010 Jul-Aug;81(4):269-74; discussion 283. [Transanal endocopic microsurgery (TEM) in advanced rectal cancer disease treatment]. [Article in Italian] Paci M, Scoglio D, Ursi P, Barchetti L, Fabiani B, Ascoli G, Lezoche G. Endolaparoscopic Surgery and Advanced Technology Unit, Department of Surgery Paride Stefanini Policlinico Umberto I, Rome, Italy. marcel...@yahoo.it Abstract After Heald's revolution in 1982, who introduced the total mesorectal excision, for improve the results in terms of recurrance and survival rate, there is a need to explore new therapeutic options in treatment of sub-peritoneal rectal cancer. In particular, local excision represent more often a valid technique for non advanced rectal cancer treatment in comparison with the more invasive procedure, especially in elderly and/or in poor health patients. The introduction of TEM by Buess (transanal endoscopy microsurgery), has extended the local treatment also to classes of patients who would normally have been candidates for TME. The author gives literature's details and his experience in the use of TEM for early rectal cancer sub-peritoneal. The aim of the study is to analyze short and long term results in terms of local recurrence and survival rate comparing TEM technique with the other transanal surgery in rectal cancer treatment. Preoperative Chemio-Radio therapy and rigorous Imaging Staging are the first steps to planning surgery. It's time, for local rectal cancer, has come to make the devolution a few decades ago has been accomplished in the treatment of breast cancer
	PMID: 21322272 [PubMed - indexed for MEDLINE]
	Related citations