[Minimally invasive surgery of the colon and rectum].
In the period from 1.8.89 to 1.7.92 140 adenomas and 63 carcinomas were locally resected from the rectosigmoid area with the instruments of TEM. The mortality was 0.5%, the rate of dehiscence of the suture 9.8%. 75% of these were treated conservatively. One of the 29 patients with locally resected pTl-low risk-carcinoma developed a recurrence so far. The rate of recurrent adenomas was 1.4%. From 7.1.1992 to 24.5.1993 21 procedures in colorectal surgery were performed laparoscopically or in a combined laparoscopic transanal operation. The mortality was zero. 1 case of suture dehiscence, 2 cases of crural phlebothrombosis and 1 lesion of the left ureter were observed. The use of TEM in the combined procedure means an extension of the range of minimally invasive colorectal surgery to the lower rectum.
Mentges
B
B
Klinik für Allgemeine Chirurgie und Poliklinik, Eberhard-Karls-Universität, Tübingen.
Buess
G
G
Manncke
K
K
Becker
H D
HD
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D018256:Adenomatous Polyps / Q000473:pathology / Q000601:surgery*; D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D004867:Equipment Design; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D020706:Laparoscopes; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery; D020700:Proctoscopes; D012005:Rectal Prolapse / Q000473:pathology / Q000601:surgery*; D012086:Reoperation
Minimal invasive Chirurgie des Kolon und Rektum.