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- Title
Clinical results of transanal endoscopic microsurgery.
- Authors
Bueß, G.; Kipfmüller, K.; Ibald, R.; Heintz, A.; Hack, D.; Braunstein, S.; Gabbert, H.; Junginger, T.
- Abstract
Using the 'transanal endoscopic microsurgery' technique, 140 patients were treated at the Department of Surgery in Cologne and Mainz. Of the patients with adenomas, 68.2% had typical symptoms preoperatively. The postoperative hospital attendance was 8.7 days, with an average resection size of 14.4 cm. The postoperative complication rate was 5%, and there were no deaths related to the technique. In a prospective controlled trial, 2.2% of the patients with adenomas treated endoscopically in Mainz showed recidivation, requiring reoperation. The follow-up rate was 100%. In 30 cases, microscopic examination revealed carcinoma. Radical reoperation in 8 pT1 tumours showed neither remaining tumour nor lymph node metastases. Twelve patients with pT1 carcinoma treated by local surgery alone were recurrence-free with an average follow-up period of 12.3 months. So far, there have been no late results.
- Publication
Surgical Endoscopy, 1988, Vol 2, Issue 4, p245
- ISSN
0930-2794
- Publication type
Article
- DOI
10.1007/BF00705331