TRANSANAL ENDOSCOPIC MICROSURGERY (TEM)

被引:36
作者
BUESS, GF
MENTGES, B
机构
[1] Department of General Surgery, the Eberhard-Karls-University, Tübingen
来源
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES | 1992年 / 1卷 / 02期
关键词
TRANSANAL; ENDOSCOPIC; RECTAL MICROSURGERY; ADENOMA; RECTAL CARCINOMA; LOCAL EXCISION;
D O I
10.3109/13645709209152931
中图分类号
R61 [外科手术学];
学科分类号
摘要
In the period from July 1983 to June 1991, 321 operations were performed using the technique of transanal endoscopic microsurgery (TEM). The most proximal tumours resected were in the lower sigmoid up to 25 cm from the anal verge. The complication rate requiring surgical intervention was 6.5% and the recurrence rate after polypectomy was 5%. Of 44 patients with pT1 low-risk tumours, one developed a recurrence as did two of the three patients with pT1 high-risk tumours. Using the technique of TEM, segmental resections with end-to-end anastomosis are possible in the extraperitoneal part of the rectum.
引用
收藏
页码:101 / 109
页数:9
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