Technique of transanal endoscopic microsurgery

G. Buess, K. Kipfmüller, D. Hack, R. Grüßner, A. Heintz, T. Junginger

Research output: Contribution to journalArticlepeer-review

163 Scopus citations

Abstract

Sessile adenomas are predominantly localized in the rectum and lower sigma. Surgical removal is indicated but often implies an invasive surgical procedure. Using conventional transanal surgical techniques, only the lower rectum can be reached and there are high rates of recurrence. The new technique combines an endoscopic view of the rectum under gas insufflation via a stereoscopic telescope with conventional surgical preparation and suturing. Adenomas can be excised using the mucosectomy technique or full-thickness-excision, whereas carcinomas should be excised using full-thickness excision with a sufficient border of healthy mucosa. In carcinomas of the sacral cavity, we remove the retrorectal fat up to the fascia of Waldeyer, including the regional lymph nodes. Transanal endoscopic microsurgery is the most economical and tissue-saving surgical technique for the removal of rectal adenomas and early rectal carcinomas.

Original languageEnglish (US)
Pages (from-to)71-75
Number of pages5
JournalSurgical endoscopy
Volume2
Issue number2
DOIs
StatePublished - Jun 1 1988

Keywords

  • Early rectal carcinoma
  • Endoscopic microsurgery
  • Polyp surgery
  • Rectal adenoma
  • Rectal surgery
  • Transanal surgery

ASJC Scopus subject areas

  • Surgery

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