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Clin Colon Rectal Surg 2015; 28(03): 165-175
DOI: 10.1055/s-0035-1562889
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Transanal Endoscopic Microsurgery

Theodore John Saclarides
1   Loyola University Medical Center, Maywood, California
› Author Affiliations
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Publication History

Publication Date:
05 October 2015 (online)

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Abstract

Transanal endoscopic microsurgery (TEM) was developed by Professor Gerhard Buess 30 years ago at the dawn of minimally invasive surgery. TEM utilizes a closed proctoscopic system whereby endoluminal surgery is accomplished with high-definition magnification, constant CO2 insufflation, and long-shafted instruments. The end result is a more precise excision and closure compared to conventional instrumentation. Virtually any benign lesion can be addressed with this technology; however, proper patient selection is paramount when using it for cancer.

Keywords

transanal - endoscopic - endoluminal - rectal cancer
 

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