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Transanal Endoscopic Surgery (TES)

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Current Common Dilemmas in Colorectal Surgery

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Abstract

There has been a significant evolution of the transanal excision technique over the past 3–4 decades. In 1983, Gerhard Buess introduced a disruptive technique in colorectal surgery, transanal endoscopic microsurgery (TEM). The initial results comparing TEM to the standard of care, transanal excision (TAE), revealed that TEM was associated with superior quality of resection demonstrated by the higher rate of achieving negative margins. Longer-term results revealed that TEM resection of rectal lesions also resulted in a lower local recurrence rate compared to TAE. TEM is one of the first colorectal surgical techniques with superior operative outcomes compared to the standard of care at the time (TAE). Over the last decade, multiple transanal platforms have been developed, and new techniques and terminology such as TAMIS (transanal minimally invasive surgery) have broadened the utility and applications of TEM. More broadly, the various terminologies used to describe the transanal endoluminal resection irrespective of the transanal access platform is TES (transanal endoscopic surgery). This chapter reviews the history and evolution of TES as well as comparing it to new endoluminal techniques such as EMR (endoscopic mucosal resection) and ESD (endoscopic submucosal dissection) for rectal lesions.

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Authors and Affiliations

  1. General Surgery, Kaiser Permanente, Los Angeles Medical Center, Los Angeles, CA, USA

    Susana Wu & Elisabeth C. McLemore

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  1. Susana Wu
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  2. Elisabeth C. McLemore
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Correspondence to Elisabeth C. McLemore .

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Editors and Affiliations

  1. London Health Sciences Centre, University Hospital, London, Ontario, Canada

    Christopher M. Schlachta

  2. Mount Sinai School of Medicine, New York, New York, USA

    Patricia Sylla

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Wu, S., McLemore, E.C. (2018). Transanal Endoscopic Surgery (TES). In: Schlachta, C., Sylla, P. (eds) Current Common Dilemmas in Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-70117-2_7

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  • DOI: https://doi.org/10.1007/978-3-319-70117-2_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70116-5

  • Online ISBN: 978-3-319-70117-2

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