Transanal endoscopic microsurgical submucosal dissection (TEM-ESD) for rectal adenomas: a retrospective cohort study of 145 consecutive cases

Transanal endoscopic microsurgery (TEM) and endoscopic submucosal dissection (ESD) are currently the two most popular methods for resecting large rectal adenomas en bloc. However, damage to the mesorectum in the case of TEM, plus the technical challenges and long procedure times of flexible ESD, are...

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Bibliographic Details
Main Authors: Kouladouros, Konstantinos (Author) , Baral, Jörg (Author)
Format: Article (Journal)
Language:English
Published: 02 June 2022
In: Langenbeck's archives of surgery
Year: 2022, Volume: 407, Issue: 6, Pages: 2423-2430
ISSN:1435-2451
DOI:10.1007/s00423-022-02562-0
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00423-022-02562-0
Verlag, lizenzpflichtig, Volltext: https://link.springer.com/article/10.1007/s00423-022-02562-0
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Author Notes:Konstantinos Kouladouros, Jörg Baral
Description
Summary:Transanal endoscopic microsurgery (TEM) and endoscopic submucosal dissection (ESD) are currently the two most popular methods for resecting large rectal adenomas en bloc. However, damage to the mesorectum in the case of TEM, plus the technical challenges and long procedure times of flexible ESD, are major disadvantages of these procedures. Transanal endoscopic microsurgical submucosal dissection (TEM-ESD) is a new technique, combining the ergonomic features of TEM with the minimally invasive approach of ESD. The aim of our study was to assess the feasibility and safety of TEM-ESD for resection of large rectal adenomas.
Item Description:Gesehen am 26.09.2023
Physical Description:Online Resource
ISSN:1435-2451
DOI:10.1007/s00423-022-02562-0