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Local Treatment of Rectal Cancer (TEM Versus TAMIS Versus Transanal Excision)

  • John H. Marks
  • Harry Reynolds
Chapter

Abstract

Although total mesorectal excision (TME) and abdominoperineal resection (APR) are routinely employed for major oncologic resection of more advanced rectal lesions, the transanal approach to rectal cancer is uniquely poised to provide a curative option without the added morbidity of a transabdominal procedure. Additionally, a transanal option can help preserve function without compromising oncologic outcome. Since its first description in 1966, transanal excision continues to be an ideal option in select patients who present with early tumors and favorable characteristics, as well as a palliative procedure for more advanced disease in high-risk patients. In this chapter, we will describe the outcomes associated with various transanal excisional techniques, including transanal endoscopic microsurgery (TEM) and the more recently described transanal minimally invasive surgery (TAMIS) technique, to provide recommendations regarding options for managing these lesions.

Keywords

Rectal Cancer Total Mesorectal Excision Local Excision Local Recurrence Rate Transanal Endoscopic Microsurgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 14.1

Transanal endoscopic microsurgery (TEM) excision of a rectal mass (Video by Peter Cataldo, MD) (MOV 187521 kb)

Video 14.2

Transanal minimally invasive surgery removal of a rectal mass (Video by Matthew Albert, MD) (WMV 84531 kb)

Video 14.3

Transanal minimally invasive surgery removal of a rectal mass (Video by Matthew Albert, MD) (WMV 86612 kb)

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of Colorectal Surgery, Department of SurgeryMain Line Health Systems, Lankenau Medical CenterWynnewoodUSA
  2. 2.Division of Colorectal SurgeryLankenau Medical CenterWynnewoodUSA
  3. 3.Colon and Rectal Cancer SurgeryCase Western Reserve University, University Hospitals Case Medical CenterClevelandUSA

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