title: [Microsurgery in prospective comparison with conventional transanal excision or anterior rectum resection in adenomas and superficial carcinomas].
abstract: In a prospective randomized study, transanal microsurgery (TEM) was compared with anterior resection (AR) for T1-carcinomas (n = 25 vs. 28) and with local submucosal excision for adenomas (n = 90 vs. 98). The TEM procedure was superior to AR in blood loss, operation time, analgetic demand, hospitalisation in carcinoma resection and for local relapse in adenoma resection (6% vs. 22%). The 5-year survival probability between TEM and AR was 96% for both techniques, thus advocating TEM as a considerable procedure for cure of T1-rectal carcinomas.
authors.affiliation: Klinik und Poliklinik für Allgemeine Chirurgie, Münster.
authors.forename: G
authors.initials: G
authors.lastname: Winde
authors.forename: K W
authors.initials: KW
authors.lastname: Schmid
authors.forename: B
authors.initials: B
authors.lastname: Reers
authors.forename: H
authors.initials: H
authors.lastname: Bünte
mesh_terms: D000236:Adenoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D009367:Neoplasm Staging; D011351:Proctoscopy; D011446:Prospective Studies; D012004:Rectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome
vernacular_title: Mikrochirurgie (TEM) im prospektiven Vergleich zu konventioneller transanaler Abtragung oder anteriorer Rektumresektion bei Adenomen und oberflächlichen Karzinomen.