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Review
. 2017 Apr;30(2):112-119.
doi: 10.1055/s-0036-1597315.

Transanal Minimally Invasive Surgery

Earl V Thompson  1 , Joshua I S Bleier  1
Affiliations
Review

Transanal Minimally Invasive Surgery

Earl V Thompson et al. Clin Colon Rectal Surg. 2017 Apr.

Abstract

Transanal endoscopic surgery (TES) techniques encompass a variety of approaches, including transanal endoscopic microsurgery and transanal minimally invasive surgery. These allow a surgeon to perform local excision of rectal lesions with minimal morbidity and the potential to spare the need for proctectomy. As understanding of the long-term outcomes from these procedures has evolved, so have the indications for TES. In this study, we review the development of TES, its early results, and the evolution of new surgical techniques. In addition, we evaluate the most recent research on indications and outcomes in rectal cancer.

Keywords: rectal cancer; transanal endoscopic microsurgery; transanal endoscopic surgery; transanal minimally invasive surgery.

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Figures

Fig. 1
Fig. 1
The assembled TEM scope is shown. Note the upward facing stereoscopic eyepiece, downward facing monocular viewer for camera attachment, and support arm fixing the scope to the operating table in the center of the bottom of the image (Image courtesy of Dr. Peter Cataldo).
Fig. 2
Fig. 2
The TEO proctoscope is similar in design to the TEM scope and consists of the beveled proctoscope itself, a sealing faceplate, and attachments for insufflation, suction, and instrument ports. (2015 Photo Courtesy of KARL STORZ Endoscopy-America, Inc. Used with permission.)
See this image and copyright information in PMC

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