Totally transrectal endoscopic Total Mesorectal Excision (TME)

被引:28
作者
Lacy, A. M. [1 ]
Adelsdorfer, C. [1 ]
机构
[1] Univ Barcelona, Inst Digest & Metab Dis ICMDM, Dept Gastrointestinal Surg, Ctr Esther Koplowitz,Hosp Clin,IDIBAPS,Ctr Invest, E-08036 Barcelona, Spain
关键词
Transanal Endoscopic Microsurgery (TEM); Natural Orifice Translumenal Endoscopic Surgery (NOTES); COLON-CANCER; SURGERY; TRIAL; MICROSURGERY; COLECTOMY; RESECTION;
D O I
10.1111/j.1463-1318.2011.02781.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Surgical treatment has been in constant evolution in the search for minimizing incisions regardless of the complexity of the operation. Natural Orifice Translumenal Endoscopic Surgery (NOTES) represents this progression of surgery to less invasive procedures. Transanal endoscopic microsurgery (TEM) is an ideal NOTES platform to access the peritoneal cavity endoscopically through the anus and specifically to allow colorectal resections be performed through smaller, or indeed without, abdominal incisions. Transanal rectosigmoidectomy with total mesorectal excision (TME) using TEM is a feasible and oncologically safe option. Such use of currently available combined hybrid laparoendoscopic systems provides a safe platform to define future clinical applications and advantages of NOTES. Furthermore, it stimulates the active development of technologies that will support and enable it.
引用
收藏
页码:43 / 46
页数:4
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