Transanal endoscopic microsurgery: exploring its indications and novel applications. A narrative review

Featuring some advantages of endoscopy and microsurgery, transanal endoscopic microsurgery (TEM) was first introduced in treating local early-stage rectal lesions in 1983. However, its applications to rectal surgery have remained virtually unchanged over the past 38 years. This review aims to descri...

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Main Authors: Xiaoqiang Xue, Guole Lin
Format: Article
Language:English
Published: Termedia Publishing House 2021-09-01
Series:Videosurgery and Other Miniinvasive Techniques
Subjects:
Online Access:https://www.termedia.pl/Transanal-endoscopic-microsurgery-exploring-its-indications-r-nand-novel-applications-A-narrative-review,42,45056,1,1.html
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author Xiaoqiang Xue
Guole Lin
author_facet Xiaoqiang Xue
Guole Lin
author_sort Xiaoqiang Xue
collection DOAJ
description Featuring some advantages of endoscopy and microsurgery, transanal endoscopic microsurgery (TEM) was first introduced in treating local early-stage rectal lesions in 1983. However, its applications to rectal surgery have remained virtually unchanged over the past 38 years. This review aims to describe some well-accepted indications for TEM and showcase other novel but successful applications. In this review, we conducted a thorough English literature review on the applications of transanal endoscopic microsurgery in the PubMed database. Published original articles, case reports, and letters from 1983 to 2020 were included. Retrieved articles were discussed and conclusions were made. The results showed that applications of TEM could be more flexible and extended, namely, TEM’s niche applications in advanced rectal cancer after neoadjuvant chemoradiotherapy, neuroendocrine tumor, gastrointestinal stromal tumor, fistula, solitary rectal ulcer syndrome, benign stricture, and transanal total mesorectal excision are promising, while prospective studies are needed.
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spelling doaj.art-336e8c3154e3440d99278c02d7ee8c5d2022-12-22T04:02:30ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542021-09-011719510310.5114/wiitm.2021.10881145056Transanal endoscopic microsurgery: exploring its indications and novel applications. A narrative reviewXiaoqiang XueGuole LinFeaturing some advantages of endoscopy and microsurgery, transanal endoscopic microsurgery (TEM) was first introduced in treating local early-stage rectal lesions in 1983. However, its applications to rectal surgery have remained virtually unchanged over the past 38 years. This review aims to describe some well-accepted indications for TEM and showcase other novel but successful applications. In this review, we conducted a thorough English literature review on the applications of transanal endoscopic microsurgery in the PubMed database. Published original articles, case reports, and letters from 1983 to 2020 were included. Retrieved articles were discussed and conclusions were made. The results showed that applications of TEM could be more flexible and extended, namely, TEM’s niche applications in advanced rectal cancer after neoadjuvant chemoradiotherapy, neuroendocrine tumor, gastrointestinal stromal tumor, fistula, solitary rectal ulcer syndrome, benign stricture, and transanal total mesorectal excision are promising, while prospective studies are needed.https://www.termedia.pl/Transanal-endoscopic-microsurgery-exploring-its-indications-r-nand-novel-applications-A-narrative-review,42,45056,1,1.htmltransanal endoscopic microsurgery rectal carcinoma neuroendocrine tumor gastrointestinal stromal tumor indication.
spellingShingle Xiaoqiang Xue
Guole Lin
Transanal endoscopic microsurgery: exploring its indications and novel applications. A narrative review
Videosurgery and Other Miniinvasive Techniques
transanal endoscopic microsurgery
rectal carcinoma
neuroendocrine tumor
gastrointestinal stromal tumor
indication.
title Transanal endoscopic microsurgery: exploring its indications and novel applications. A narrative review
title_full Transanal endoscopic microsurgery: exploring its indications and novel applications. A narrative review
title_fullStr Transanal endoscopic microsurgery: exploring its indications and novel applications. A narrative review
title_full_unstemmed Transanal endoscopic microsurgery: exploring its indications and novel applications. A narrative review
title_short Transanal endoscopic microsurgery: exploring its indications and novel applications. A narrative review
title_sort transanal endoscopic microsurgery exploring its indications and novel applications a narrative review
topic transanal endoscopic microsurgery
rectal carcinoma
neuroendocrine tumor
gastrointestinal stromal tumor
indication.
url https://www.termedia.pl/Transanal-endoscopic-microsurgery-exploring-its-indications-r-nand-novel-applications-A-narrative-review,42,45056,1,1.html
work_keys_str_mv AT xiaoqiangxue transanalendoscopicmicrosurgeryexploringitsindicationsandnovelapplicationsanarrativereview
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