Application of transanal endoscopic microsurgery in anorectal diseases

VernacularTitle:经肛门内镜显微手术在直肠肛门疾病中的应用
Author: Jiaxing MENG ¹ ; Hongcheng LIN
Author Information

1. 999077,香港明德国际医院外科部
Keywords: Transanal endoscopic microsurgery; Rectal neoplasms; Indication
From: Chinese Journal of Gastrointestinal Surgery 2015;(5):423-426
CountryChina
Language:Chinese
Abstract: Transanal endoscopic microsurgery (TEM) is a safe and effective procedure for the treatment of local tumors, especially for the rectal villous adenoma (pT0), polyps with severe dysplasia and in situ carcinoma (pTis). It can also be applied as salvage surgery for incidental carcinoma after colonoscopy as well as in cases of giant villous adenoma. With the introduction of screening colonoscopy , more early polyps will be detected. We should be able to customize our treatment accordingly. On one hand, we want to prevent overkill and on the other hand to avoid under-treatment. This article is aimed to review the development of TEM and discuss its various indications.