Transanal Endoscopic Surgery: Who Should Be Doing This Procedure?

被引:0
作者
Fournier, Francois Rouleau [1 ]
Brown, Carl James [1 ]
机构
[1] Univ British Columbia, Dept Surg, St Pauls Hosp, 1081 Burrard St,Room C310,Third Floor, Vancouver, BC V6Z 1Y6, Canada
关键词
transanal endoscopic surgery; TES; TEM; TAMIS; MINIMALLY INVASIVE SURGERY; LEARNING-CURVE; RECTAL-CANCER; OPERATIVE MORTALITY; HOSPITAL VOLUME; LOCAL EXCISION; OPEN COLECTOMY; OUTCOMES; MICROSURGERY; MANAGEMENT;
D O I
10.1055/s-0041-1742109
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Transanal endoscopic surgery (TES) was introduced in the 1980s, but more widely adopted in the late 2000s with innovations in instrumentation and training. Moreover, the global adoption of minimally invasive approaches to abdominal procedures has led to translatable skills for TES among colorectal and general surgeons. While there are similarities to laparoscopic surgery, TES has unique challenges related to the narrow confines of intraluminal surgery, angled instrumentation, and relatively uncommon indications limiting the opportunity to practice. The following review discusses the current evidence on TES learning curves, including potential limitations related to the broad adoption of TES by general surgeons. This article aims to provide general recommendations for the safe expansion of TES.
引用
收藏
页码:99 / 105
页数:7
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