title: [Application of transanal endoscopic microsurgery in anorectal diseases].
abstract: Transanal endoscopic microsurgery(TEM) is a safe and effective procedure for the treatment of local tumors, especially for the rectal villous adenoma (pT0), polyps with severe dysplasia and in situ carcinoma(pTis). It can also be applied as salvage surgery for incidental carcinoma after colonoscopy as well as in cases of giant villous adenoma. With the introduction of screening colonoscopy, more early polyps will be detected. We should be able to customize our treatment accordingly. On one hand, we want to prevent overkill and on the other hand to avoid under-treatment. This article is aimed to review the development of TEM and discuss its various indications.
authors.affiliation: Department of Surgery, Hongkong Matilda International Hospital, Hongkong 999077, China. wmeng@netvigator.com.
authors.forename: Jiaxing
authors.initials: J
authors.lastname: Meng
authors.forename: Hongcheng
authors.initials: H
authors.lastname: Lin
mesh_terms: D002278:Carcinoma in Situ; D003113:Colonoscopy; D006801:Humans; D011127:Polyps; D012004:Rectal Neoplasms; D000067369:Transanal Endoscopic Microsurgery