Przezodbytnicza mikrochirurgia endoskopowa – doświadczenia własne

Stanisław Malinger, Michał Drews, Ryszard Marciniak, Tomasz Kościński

Streszczenie
Local resection of benign and selected malignant rectal tumors is a well accepted surgical technique. The use of a stereoscopic microsurgical technique, as introduced to clinical practice by Buess et al in 1983, has been shown to improve the results of conventional transanal resection by allowing precise, full thickness resection of the rectum and distal portion of the sigmoid colon from 5 to 24 com from the anal verge. Until now 15 patients have been operated using TEM method. The group includes also rectal cancers classified as pT-1 and G-1. Preliminary results are encouraging. The patients left the hospital four days after the procedure and started professional activity two weeks postoperatively. All the patients are followed-up: patients who had adenomas once a year and those with pT-1 „low-risk” rectal cancer – every three months in their first postoperative year and then in six month intervals. Local excision of the adenomas and early cancers of the rectum with the use of TEM proves to be an effective method of surgical treatment in a selected group of patients.

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