Endoscopic microsurgery of rectal tumors.
Seventy-five patients with sessile adenomas or early carcinomas of the rectum or rectosigmoid were operated on with the new technique "transanal endoscopic microsurgery" Employing a newly developed complex endoscopic operating system, complete removal of sessile adenomas can be accomplished up to a distance of 25 cm from the anal verge, accurately and non-invasively. Complications occurred in three cases, with no resulting mortality. In the follow-up period we discovered only one adenomatous recurrence that required operative treatment. The superior accuracy of preparation, a short average stay in hospital, and low recurrence and complication rates are the advantages of this transanal endoscopic operative technique.
Buess
G
G
Department of Surgery, University of Mainz, FRG.
Kipfmüller
K
K
Naruhn
M
M
Braunstein
S
S
Junginger
T
T
D006801:Humans; D007417:Intestinal Polyps / Q000473:pathology / Q000601:surgery*; D008866:Microsurgery / Q000295:instrumentation*; D011183:Postoperative Complications / Q000473:pathology; D020700:Proctoscopes; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000473:pathology