The use of a local excision to treat patients with early rectal cancer is increasing these days [1]. Local excisions have been commonly used because they have the benefits of decreased postoperative morbidity and mortality, good functional outcome, and avoidance of the need for a stoma [2]. However, the use of a local excision, when compared with a radical resection, such as a low anterior rese...

Indications for transanal endoscopic microsurgery (TEM) have evolved since surgery for incipient rectal tumours. The possibility of access via TEM has now been extended to other rectal and pelvic diseases, while standard surgical treatment is performed through the abdomen by laparotomy or laparoscopy. The evolution of laparoscopy has resulted in natural orifice translumenal endoscopic surgery (...

BACKGROUND Transanal endoscopic microsurgery (TEM) is a newly developed, minimally invasive technique for the local resection of rectal tumours. Its place needs to be defined. METHODS Literature review. RESULTS Local excision of rectal tumours is associated with low mortality and morbidity. It is indicated in adenomas for curation and in rectal cancer for palliation. Transanal resection is ...

OBJECTIVES To summarize the efficacy of the laparoscopic-assisted transanal-endorectal pull-through procedure for Hirschsprung's disease (HD). METHODS Between May 2006 and May 2013, 22 children with HD undergoing laparoscopic-assisted endorectal pull-through procedures were retrospectively analyzed. The operative time, pathology, intraoperative blood loss, recovery time for gastrointestinal f...

The first description of surgery for rectal cancer was reported by the French surgeon Lisfranc who described a total of nine patients operated trough a perineal-transanal approach (Lisfranc, 1830). Although more recently gaining popularity, transanal techniques have long been used for the treatment of rectal diseases and were promoted by the work of Sir Alan Parks at St. Marks Hospital in Londo...

Transanal endoscopic microsurgery may be considered medically necessary for treatment of clinical T1 rectal adenocarcinomas than cannot be removed using other means of local excision and that meet all of the following criteria:  Located in the middle or upper part of the rectum  Well or moderately differentiated (G1 or G2)  Without lymphadenopathy or microscopic angiolymphatic invasion  Les...

Delivery of healthcare in different economic models presents opportunities and challenges for the generations and populations. In the Caribbean nations, there is a wide disparity of level of healthcare provided both between countries and within individual countries. The Cuban medical system is very advanced in comparison to other countries (Caribbean region). In fact in the infant mortality rat...

conclusions rtesd in the prone position is safe and presents a feasible alternative for management of large rectal tumors. we also anticipate the technique to further improve with the advancement of robotic technology. introduction endoscopic submucosal dissection (esd) of large tumors of the rectum is particularly challenging using colonoscopy or with laparoscopic instruments. more recently ro...