Abstract
In the management of early-stage rectal cancer, several techniques can be considered for local excision: total mesorectal excision (TME), transanal endoscopic microsurgery (TEM), transanal minimally invasive surgery (TAMIS), endoscopic mucosal resection (EMR)/endoscopic submucosal dissection (ESD), and robotic surgical approaches. Endoscopic and transanal approaches allow patients to avoid the morbidity of radical surgery (proctectomy with total mesorectal excision). This article provides an overview of these local excision techniques and reviews the indications for their use. While it is important for the acute care surgeon to know of these modalities, expertise may be held by an advanced gastroenterologist or a colorectal surgeon, so consultation of these specialists can be thoughtfully considered.
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McClellan, J., Kumar, A.S. (2019). Endoscopic and Transanal Approaches for Acute Anal and Rectal Cancers. In: Lim, R. (eds) Multidisciplinary Approaches to Common Surgical Problems. Springer, Cham. https://doi.org/10.1007/978-3-030-12823-4_6
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DOI: https://doi.org/10.1007/978-3-030-12823-4_6
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