ArticleInternational seminars in surgical oncology : ISSO2006
Transanal endoscopic micro-surgery (TEMS) for the management of large or sessile rectal adenomas: a review of the technique and indications.
Article in International seminars in surgical oncology : ISSO, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Guideline
- Transanal single-port microsurgery for rectal tumors: minimal invasive surgery under spinal anesthesia.Surgical endoscopy · 2014Trial
- Surgical Techniques for Transanal Local Excision for Early Rectal Cancer.Ewha medical journal · 2023Review
- Robotic transanal minimally invasive surgery (TAMIS) with the newest robotic surgical platform: a multi-institutional North American experience.Surgical endoscopy · 2019Article
- Management of a case of high-risk gastrointestinal stromal tumor in rectum by transanal minimal invasive surgery.World journal of surgical oncology · 2018Article
- Transanal Minimally-Invasive Surgery for Treating Patients With Regressed Rectal Cancer After Preoperative Chemoradiotherapy.Annals of coloproctology · 2017Article
- Local excision for early rectal cancer: transanal endoscopic microsurgery and beyond.Journal of gastrointestinal oncology · 2015Review
- Transanal endoscopic microsurgery: a review.Canadian journal of surgery. Journal canadien de chirurgie · 2014Review
- Transanal endoscopic microsurgery (TEM) facilitated by video-assistance and anal insertion of a single-incision laparoscopic surgery (SILS(®))-port: preliminary experience.World journal of surgery · 2014Article
- Total laparoscopic sigmoid and rectal surgery in combination with transanal endoscopic microsurgery: a preliminary evaluation in China.Surgical endoscopy · 2013Article
- Feasibility of transanal minimally invasive surgery for mid-rectal lesions.Surgical endoscopy · 2012Article
- Robotic TransAnal Minimally Invasive Surgery in a cadaveric model.Techniques in coloproctology · 2011Article
- Complex rectal polyps: other treatment modalities required when offering a transanal endoscopic microsurgery service.International journal of colorectal disease · 2011Article
- Transanal polypectomy using single incision laparoscopic instruments.World journal of gastrointestinal surgery · 2011Article
- Transanal minimally invasive surgery: a giant leap forward.Surgical endoscopy · 2010Article
- Treatment of rectal adenomas by transanal endoscopic microsurgery: 15 years' experience.Surgical endoscopy · 2010Article
- Transanal endoscopic microsurgery: indications, results and controversies.Techniques in coloproctology · 2009Review
- Transanal Endoscopic Microsurgery (TEMS) for Rectal Cancer: Patient Decision-making, Postoperative Experience and Quality of Life.In vivo (Athens, Greece)Article
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In this review article the surgical technique of Transanal Endoscopic Microsurgery (TEMS) is examined. A number of techniques have been used to treat adenomas of the rectum. The treatment of large adenomas which occupy a large surface of the rectal lumen or adenomas which are flat and grow in a "carpet-like" fashion is particularly challenging. Major rectal surgery carries a risk of morbidity and mortality, particularly in elderly and unfit patients. Although local excision with transanal resection (TAR) and the Kraske sacral operation have been used in the past, during the last twenty years TEMS has become the method of choice for those lesions. TEMS is efficient and minimally invasive. The technique allows the patient to recover rapidly and the incidence of complications is much lower than that of major surgery. In case of recurrence the option of repeat TEMS or major surgery remain available. TEMS has been slow to gain popularity mainly for reasons of cost and steep learning curve but it is now an established procedure and a valuable therapeutic option which is particularly useful for elderly and unfit patients. Gastroenterologists should be aware of the nature and indications of TEMS in order to advise and refer selected patients with rectal adenomas accordingly.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.