[Transanal single-port surgery for local excision of rectal tumours].
Transanal endoscopic microsurgery (TEM) is the technique of choice for rectum-preserving treatment of rectal tumours. However, the instruments are relatively expensive and TEM is a highly-complex technique. From 2010 a few case reports describing a new technique for local excision of rectal tumours using a single-access laparoscopic port have appeared. These single-access ports are flexible multichannel ports for transumbilical laparoscopic surgery. Even though not developed for transanal use these ports are ideal because of their shape and the material they are made from. Transanal surgery using a single-access port is a relatively simple procedure and does not require any investment in new instruments. This new technique will enable more surgeons to carry out transanal endoscopic surgery.
Ziekenhuis Gelderse Vallei, afd. Heelkunde, Ede, the Netherlands. m.stommel@gmail.com
Martijn W J
MW
Stommel
Simone
S
Velthuis
Peter
P
van den Boezem
Colin
C
Sietses
D001003:Anal Canal / Q000601:surgery; D006801:Humans; D007417:Intestinal Polyps / Q000601:surgery; D008866:Microsurgery; D019060:Minimally Invasive Surgical Procedures / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D057605:Natural Orifice Endoscopic Surgery / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D011351:Proctoscopy / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D012004:Rectal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome