keyword
https://read.qxmd.com/read/38221999/removal-of-a-large-rectal-polyp-with-endoscopic-submucosal-dissection-trans-anal-rectoscopic-assisted-minimally-invasive-surgery-hybrid-technique-a-case-report
#1
Lino Polese
BACKGROUND: Endoscopic submucosal dissection (ESD) can be used for the en-bloc removal of superficial rectal lesions; however, the lack of a traction system makes the procedure long and difficult in the presence of extensive lesions. CASE SUMMARY: A large polyp occupying 2/3 of the rectal circumference and extending 5 cm in length was removed by ESD with the help of laparoscopic forceps introduced via trans-anal rectoscopic assisted minimally invasive surgery, a disposable platform designed to aid in transanal minimally invasive surgery...
December 27, 2023: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38198803/-transanal-endoscopic-microsurgery-tem-is-a-surgical-option-to-preserve-fecal-continence-in-selected-low-rectal-cancers
#2
JOURNAL ARTICLE
Katrin Marlene Schaffitzel, Stephanie Zu Putlitz, Stefan Karl Gölder, Ralf Kurek, Marco Siech
INTRODUCTION: Despite its existence for more than 40 years, the TEM method has not become widespread. The main reasons are the high acquisition costs, the sophisticated technology and alternative procedures (especially radical resection procedures), which provide greater oncological safety. However, avoiding major abdominal surgery with the creation of a stoma and higher complication rates can outweigh the higher risk of recurrence for some patients. We examined the results using V-TEM with reduced acquisition costs in the resection of adenomas and carcinomas and discussed its importance by literature ...
January 10, 2024: Zeitschrift Für Gastroenterologie
https://read.qxmd.com/read/37970828/comparison-between-endoscopic-submucosal-dissection-and-transanal-endoscopic-microsurgery-in-early-rectal-neuroendocrine-tumor-patients-a-meta-analysis
#3
REVIEW
Fu-Gang Wang, Ying Jiang, Chao Liu, Hong Qi
PURPOSE: To compare the effectiveness, safety and cost-effectiveness of endoscopic submucosal dissection (ESD) with transanal endoscopic microsurgery (TEM) in early rectal neuroendocrine tumor (RNET) patients. This article will provide reliable evidence for surgeons in regards to clinical decision-making. METHODS: Systematic literature retrieval was performed in Pubmed, Embase and Cochrane database from 2013/4/30 to 2023/4/30. Methodology validation was performed by using the Newcastle-Ottawa Scale (NOS)...
December 2023: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://read.qxmd.com/read/37962083/recurrence-after-transanal-endoscopic-microsurgery-for-benign-and-malignant-rectal-tumours-experience-of-a-single-new-zealand-centre
#4
JOURNAL ARTICLE
Alexander Hart, Kari Clifford, Mark Thompson-Fawcett
BACKGROUND: Transanal endoscopic microsurgery (TEM) is an established technique for the resection of rectal adenomas and selected malignant tumours. It avoids the morbidity of radical resection for tumours not amenable to endoscopic resection. An important marker of quality is the local recurrence rate. The primary objective was to determine local recurrence rates for benign and malignant rectal tumours. METHODS: We identified index TEM excisions of rectal adenomas and adenocarcinomas in patients age 18 and over at Dunedin Hospital, New Zealand, between 2000 and 2020, from a prospective database...
November 14, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/37932592/endorectal-ultrasound-erus-an-accurate-and-invaluable-tool-for-identifying-suitable-candidates-for-transanal-excision-transanal-endoscopic-microsurgery-tae-tem-in-early-staged-rectal-tumors
#5
JOURNAL ARTICLE
Charlotte Campbell, Jason Conway, Laura Elizabeth Lavette, Darius Jahann, Gregory Waters, Jean Ashburn, Girish Mishra
No abstract text is available yet for this article.
November 6, 2023: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/37901725/excision-of-malignant-and-pre-malignant-rectal-lesions-by-transanal-endoscopic-microsurgery-in-patients-under-50-years-of-age
#6
JOURNAL ARTICLE
Dafna Shilo Yaacobi, Yael Berger, Tali Shaltiel, Eliahu Y Bekhor, Muhammad Khalifa, Nidal Issa
BACKGROUND: The most common technique for treating benign and early malignant rectal lesions is transanal endoscopic microsurgery (TEM). Local excision is an acceptable technique for high-risk and elderly patients, but there are hardly any data regarding young patients. AIM: To describe TEM outcomes in patients under 50 years of age. METHODS: We collected demographic, clinical, and pathological data from all patients under the age of 50 years who underwent the TEM procedure at Hasharon Rabin Medical Center from January 2005 to December 2018...
September 27, 2023: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/37798533/surgical-treatment-of-retrorectal-tumors-a-plea-for-a-laparoscopic-approach
#7
JOURNAL ARTICLE
Clara Galán, M Pilar Hernández, M Carmen Martínez, Anna Sánchez, Jesús Bollo, Eduardo Mª Targarona
INTRODUCTION: Retrorectal tumors (RRTs) are rare and often surgically excised due to the risk of malignant degeneration and compressive or obstructive symptoms. The approach for excision has traditionally been based on tumor location and performed using either a transabdominal or perineal approach depending on the position of the tumor. The advent of minimally invasive surgery, however, has challenged this paradigm. Here, we determined the applicability and potential advantages of a laparoscopic transabdominal approach in a series of 23 patients with RRTs...
October 5, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37770772/defunctioning-stoma-and-anastomotic-stricture-in-rectal-cancer-surgery-a-propensity-score-matching-study
#8
JOURNAL ARTICLE
Haoran Wang, Xiao Wang, Peng Wang, Kai Lv, Haoqing He, Wenguang Yuan, Mofan Fu, Jingbo Chen, Hui Yang
BACKGROUND: In cases of rectal cancer surgery, patients at high risk of anastomotic leakage often receive a defunctioning stoma (DS). However, its role in postoperative anastomotic strictures (AS) remains unclear. This study aimed to investigate the correlation between DS and AS and outcomes of transanal endoscopic microsurgery (TEM) in treating rectal AS. METHODS: This retrospective study was conducted from January 2019 to September 2021 and included patients who underwent rectal cancer surgery...
September 28, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/37231174/-transanal-endoscopic-microsurgery-with-a-flexible-colonoscope-f-tem-a-new-endoscopic-treatment-for-suspicious-deep-submucosal-invasion-t1-rectal-carcinoma
#9
JOURNAL ARTICLE
Flavius-Stefan Marin, Einas Abou Ali, Arthur Belle, Frédéric Beuvon, Romain Coriat, Stanislas Chaussade
BACKGROUND: Endoscopic techniques allow resections of deep submucosal invasion rectal carcinoma, but mostly are facing issues such as costs, follow-up care or size limit. Our aim was to design a new endoscopic technique, which retains the advantages over surgical resections while eliminating the disadvantages mentioned above. PATIENTS AND METHODS: We propose a technique for the resection of the superficial rectal tumours, with highly suspicious deep submucosal invasion...
May 25, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37173802/comparison-of-quality-of-life-symptom-and-functional-outcomes-following-surgical-treatment-for-colorectal-neoplasia
#10
JOURNAL ARTICLE
Christine Georges, Raymond Yap, Stephen Bell, Keith Chip Farmer, Lauren C L Cohen, Simon Wilkins, Suellyn Centauri, Rebekah Engel, Karen Oliva, Paul J McMurrick
BACKGROUND: Colorectal surgical procedures can have a significant impact on quality-of-life (QoL), functional and symptom outcomes. This retrospective study conducted in a tertiary care center evaluated the influence of four colorectal surgical procedures on patient-reported outcome measures (PROMs). METHODS: 512 patients undergoing colorectal neoplasia surgery between June 2015 and December 2017 were identified via the Cabrini Monash Colorectal Neoplasia database...
May 12, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/37040884/endoscopic-resection-using-adaptive-traction-for-a-large-recurrence-after-a-full-thickness-transanal-endoscopic-microsurgery-improving-exposure-is-a-key-point-for-complete-removal
#11
JOURNAL ARTICLE
Louis-Jean Masgnaux, Jean Grimaldi, Jérôme Rivory, Timothée Wallenhorst, Romain Legros, Jérémie Jacques, Mathieu Pioche
No abstract text is available yet for this article.
December 2023: Endoscopy
https://read.qxmd.com/read/36964292/a-prospective-evaluation-of-the-effect-of-transanal-minimally-invasive-surgery-tamis-on-low-anterior-resection-syndrome
#12
JOURNAL ARTICLE
William P Duggan, Diarmuid D Sugrue, Naomi Shannon, Brenda Murphy, John P Burke
PURPOSE: Transanal minimally invasive surgery (TAMIS) is a surgical alternative to transanal endoscopic microsurgery (TEM), transanal excision and proctectomy in the management of benign rectal polyps and early rectal cancers. Low anterior resection syndrome (LARS) describes the constellation of symptoms which result from and are common after distal colorectal resection. Symptoms include incontinence, frequency, urgency and evacuatory dysfunction. The aim of the current study was to prospectively evaluate pre- and post-operative LARS in patients who undergo TAMIS...
March 24, 2023: Surgical Endoscopy
https://read.qxmd.com/read/36853905/robotic-transanal-minimally-invasive-surgery-rtamis-large-tubulovillous-adenoma
#13
JOURNAL ARTICLE
Jetsen A Rodriguez-Silva, Robert D Bennett
Many transanal platforms have recently evolved to manage rectal pathologies. Transanal endoscopic microsurgery (TEM) and transanal laparoscopic minimally invasive surgery (TAMIS) have been developed to address the limitations of conventional transanal surgery. More recently, the addition of the robotic platform to the surgeon's armamentarium has made it possible to combine the dexterity of the robotic surgical system with the standard TAMIS single-port platform to treat complex rectal lesions. In this article, we present the case of a patient who underwent rTAMIS for the management of a large endoscopically unresectable rectal mass...
February 28, 2023: American Surgeon
https://read.qxmd.com/read/36800079/transanal-endoscopic-microsurgery-versus-radical-resection-for-early-stage-rectal-cancer-a-systematic-review-and-meta-analysis
#14
JOURNAL ARTICLE
Wei Li, Xing Xing Xiang, Hong Da Wang, Chen Jun Cai, Ying Hao Cao, Tao Liu
PURPOSE: In the treatment of early-stage rectal cancer, a growing number of studies have shown that transanal endoscopic microsurgery is one of the alternatives to radical surgery adhering to total mesorectal excision that can reduce the incidence of adverse events without compromising treatment outcomes. The purpose of this meta-analysis is to compare the safety and treatment effect of transanal endoscopic microsurgery and radical surgery adhering to total mesorectal excision to provide a basis for clinical treatment selections...
February 17, 2023: International Journal of Colorectal Disease
https://read.qxmd.com/read/36747381/management-of-rectal-neuroendocrine-tumours-by-transanal-endoscopic-microsurgery
#15
JOURNAL ARTICLE
Jessica J Lie, Hyea Min Yoon, Ahmer A Karimuddin, Manoj J Raval, P Terry Phang, Amandeep Ghuman, Lik Hang Lee, Heather Stuart, Carl J Brown
AIM: The objective of this study was to evaluate the safety and effectiveness of transanal endoscopic microsurgery for rectal neuroendocrine tumours. METHOD: A retrospective cohort study of all pathology-confirmed rectal neuroendocrine tumours treated by transanal endoscopic microsurgery from April 2007 to December 2020 at a tertiary care centre was performed. Demographic, clinical, radiographic and pathological data were collected. Characteristics of patients with recurrence were examined...
May 2023: Colorectal Disease
https://read.qxmd.com/read/36645584/transanal-endoscopic-microsurgery-technique-an-acceptable-approach-for-retrorectal-tumors
#16
JOURNAL ARTICLE
F Salameh, H Gilshtein, R Abramov, I Ashkenazi, D Duek
INTRODUCTION: Retrorectal lesions (RRLs) are rare lesions that originate from the tissue present in the retrorectal space. The gold standard of care is complete resection regardless of pathology. The traditional approaches (anterior, posterior, and combined) are relatively well described. Transanal Endoscopic Microsurgery (TEM) is a minimally invasive technique offered as an alternative approach for RRLs. AIM: To evaluate the outcomes of patients diagnosed with RRL and treated by the TEM approach, especially postoperative complications, and the recurrence rate...
January 16, 2023: Techniques in Coloproctology
https://read.qxmd.com/read/36403589/quality-of-life-outcomes-in-older-patients-with-early-stage-rectal-cancer-receiving-organ-preserving-treatment-with-hypofractionated-short-course-radiotherapy-followed-by-transanal-endoscopic-microsurgery-trec-non-randomised-registry-of-patients-unsuitable
#17
RANDOMIZED CONTROLLED TRIAL
Alexandra Gilbert, Victoria Homer, Kristian Brock, Stephan Korsgen, Ian Geh, James Hill, Talvinder Gill, Paul Hainsworth, Matthew Tutton, Jim Khan, Jonathan Robinson, Mark Steward, Christopher Cunningham, Manjinder Kaur, Laura Magill, Ann Russell, Philip Quirke, Nicholas P West, David Sebag-Montefiore, Simon P Bach
BACKGROUND: Older patients with early-stage rectal cancer are under-represented in clinical trials and, therefore, little high-quality data are available to guide treatment in this patient population. The TREC trial was a randomised, open-label feasibility study conducted at 21 centres across the UK that compared organ preservation through short-course radiotherapy (SCRT; 25 Gy in five fractions) plus transanal endoscopic microsurgery (TEM) with standard total mesorectal excision in adults with stage T1-2 rectal adenocarcinoma (maximum diameter ≤30 mm) and no lymph node involvement or metastasis...
December 2022: The Lancet. Healthy longevity
https://read.qxmd.com/read/36402562/inflammatory-cloacogenic-polyp-in-an-adolescent-case-report-and-review-of-the-literature
#18
JOURNAL ARTICLE
M Reissnerova, D Starý, L Plánka, L Frola, L Kunovsky, P Jabandziev
Inflammatory cloacogenic polyp is a rare lesion arising in the anal transitional zone. It is usually benign, but rare cases of malignant transformation are known. It is most commonly seen in the adult population from the fourth to the sixth decade of life, but it can be found among children and adolescents as well. The most common clinical symptoms include rectal bleeding and altered bowel habits, although some patients may be asymptomatic. Treatment involves transanal endoscopic microsurgery followed by a bowel regimen with stool softeners...
2022: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/36375444/does-transanal-endoscopic-microsurgery-affect-rectal-function
#19
JOURNAL ARTICLE
Evgeniy Khomyakov, Stanislav Chernyshov, Oksana Fomenko, Evgeny Rybakov
Purpose: Transanal endoscopic microsurgery (TEM) is the most standardized method for the local excision of rectal neoplasms. Unfortunately, local excisions of rectal lesions by means of TEM are not completely free from undesirable functional sequela. This study was performed to evaluate the risk factors of major loss of function after TEM. Methods: Eighty-nine patients underwent TEM between 2019 and 2020. Anorectal manometry was performed before the surgery and 3, 6, and 12 months after the surgery...
November 14, 2022: Annals of Coloproctology
https://read.qxmd.com/read/36306057/a-rare-case-of-a-superficial-squamous-cell-carcinoma-so-called-cloacogenic-carcinoma-of-the-rectum
#20
JOURNAL ARTICLE
Tsutomu Tanaka, Masahiro Tajika, Sachiyo Onishi, Keisaku Yamada, Tomoyasu Kamiya, Waki Hosoda, Yasumasa Niwa
A rare case of a squamous cell carcinoma (so-called cloacogenic carcinoma) showing extensive superficial spread to the rectum is presented. A 69-year-old woman had undergone colonoscopy for annual check-up, and a whitish, flat lesion with a central depressed area, 20 mm in size, was identified in the lower rectum. Narrow-band imaging with magnifying observation showed abnormal microvessels without the intrapapillary capillary loop patterns. Endoscopically, the margin of the lesion was unclear. Biopsy was performed, and a histological diagnosis of transitional cell carcinoma was made...
October 28, 2022: Clinical Journal of Gastroenterology
keyword
keyword
19517
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.