Transanal endoscopic surgery: past, present and future

Leong, Kai; Evans, John R.; Davies, Michael M.; Scott, A. N. D.; Lidder, Paul G

doi:10.12968/hmed.2016.77.7.394

Cited by 7 publications

(8 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The endoscopic technique is particularly useful in instances where tumors are located in difficult-to-access areas or when they are large and display a high risk of malignancy[ 3 ]. By contrast, TES is often preferred for localized tumors, especially when invasion beyond the mucosa is suspected[ 11 ]. Understanding the context in which each technique excels is critical for making informed surgical decisions.…”

Section: Discussionmentioning

confidence: 99%

“…The TES, evolved from the earlier transanal endoscopic microsurgery, presents a more familiar technique for colorectal surgeons[ 11 ]. By offering a direct, magnified view of the rectal lumen and leveraging well-understood principles of surgical dissection, TES seems to combine the advantages of endoscopic and open surgical techniques.…”

Section: Introductionmentioning

confidence: 99%

“…However, like all surgical techniques, TES is not devoid of challenges. The technical demands of the procedure, potential complications, and the need for specialized equipment have been cited as limiting factors[ 11 ]. Moreover, while TES has demonstrated promise in several studies, its comparative efficacy vis-à-vis ESD, especially in terms of oncological outcomes, remains a point of contention[ 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic submucosal dissection vs transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis

Huang,

Zhong

2024

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND Endoscopic submucosal dissection (ESD) and transanal endoscopic submucosal dissection (TES) are widely employed surgical techniques. However, the comparative efficacy and safety of both remain inconclusive. AIM To comprehensively analyze and discern differences in surgical outcomes between ESD and TES. METHODS We conducted a systematic search of the electronic databases PubMed, Embase, Cochrane Central Register of Controlled Trials, Scopus, and CINAHL from inception till August 2023. We analyzed outcomes including recurrence rate, en bloc resection, R0 resection rate, perforation rate, procedure length, and hospital stay length applying a random-effects inverse-variance model. We assessed publication bias by conducting an Egger’s regression test and sensitivity analyses. RESULTS We pooled data from 11 studies involving 1013 participants. We found similar recurrence rates, with a pooled odds ratio of 0.545 (95%CI: 0.176-1.687). En bloc resection, R0 resection, and perforation rate values were also similar for both ESD and TES. The pooled analysis for procedure length indicated a mean difference of -4.19 min (95%CI: -22.73 to 14.35), and the hospital stay was on average shorter for ESDs by about 0.789 days (95%CI: -1.671 to 0.093). CONCLUSION Both ESD and TES displayed similar efficacy and safety profiles across multiple outcomes. Our findings show that individualized patient and surgeon preferences, alongside specific clinical contexts, can be considered when selecting between these two techniques.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic submucosal dissection vs transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis

Huang,

Zhong

2024

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…The specificity of this platform sure contributed to the high cost of the technique, which has seen in the expenses its main limit. Nowadays, this technique is still in use with different platforms, 16 and it has been named differently according to the platform utilized. These procedures nowadays tend to fall under the name of transanal endoscopic surgery (TES).…”

Section: Transanal Endoscopic Microsurgerymentioning

confidence: 99%

From Transanal Total Mesorectal Excision to Transanal Transection with Single-Stapled: Evolution of Transanal Techniques

Crippa

Foppa

Spinelli

2023

Digestive Disease Interventions

View full text Add to dashboard Cite

The last decades have seen a remarkable improvement in colorectal surgery, as new techniques and protocols have been developed and adopted. Restoring the continuity of the intestinal tract after low rectal surgery remains one unresolved challenge. The development of new transanal techniques to approach the lowest rectum paved the way for a switch in mentality. Transanal total mesorectal excision has seen a steep adoption by colorectal surgeons, combining the transanal pathway with the use of minimally invasive techniques to overcome the historical difficulties of the anterior approach. One step ahead in the evolution of the transanal approach could be represented by the recently described transanal transection with single stapled technique, developed to address the main concerns of previous transanal approaches thus providing oncological and functional balance.

show abstract

“…A excisão local de tumores retais faz parte do arsenal terapêutico da coloproctologia há várias décadas. 1 Inúmeros dispositivos existem com a finalidade de expor a mucosa do reto, principalmente o seu terço inferior. Nas lesões mais altas, a realização desses procedimentos se torna mais desafiadora, pois há uma maior dificuldade na visualização adequada da área a ser operada e na manipulação dos tecidos de maneira delicada com o instrumental convencional.…”

Section: Introductionunclassified

Desenvolvimento de um simulador de baixo custo para treinamento em microcirurgia endoscópica transanal

Costa,

Araújo,

Pinheiro

et al. 2024

Rev. Med. UFC

View full text Add to dashboard Cite

Introdução: A excisão local de tumores retais através da microcirurgia endoscópica transanal (MET) faz parte do arsenal terapêutico da coloproctologia. Embora o instrumental seja semelhante ao da laparoscopia convencional, é necessário treinamento específico, mesmo que se tenha domínio da laparoscopia. Objetivo: Descrever a confecção de um simulador para treinamento em cirurgia transanal, utilizando material de baixo custo e com ampla disponibilidade. Material e Métodos: O simulador apresentado é composto de uma estrutura feita com tubulação hidráulica de 40mm de diâmetro e uma câmera endoscópica ligada a um tablet ou computador. O reto é simulado através de um tubo feito com camadas de etileno acetato de vinila (EVA). Resultados: O simulador possibilita a execução dos procedimentos relacionados a MET e treinamento para ressecção de lesões e a sutura endo-luminal. Discussão: O simulador foi montado utilizando materiais amplamente disponíveis. Foi possível obter semelhança visual e espacial, possibilitando a realização de exercícios de treinamento para ressecção de lesões e suturas endo-luminais. Conclusão: Foi possível realizar a montagem de um simulador de baixo custo para treinamento em cirurgia endoscópica transanal, capaz de oferecer um resultado visual e um campo de trabalho semelhante ao obtido no procedimento real.

show abstract

Transanal endoscopic surgery: past, present and future

Cited by 7 publications

References 61 publications

Endoscopic submucosal dissection vs transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis

Endoscopic submucosal dissection vs transanal endoscopic surgery for rectal tumors: A systematic review and meta-analysis

From Transanal Total Mesorectal Excision to Transanal Transection with Single-Stapled: Evolution of Transanal Techniques

Desenvolvimento de um simulador de baixo custo para treinamento em microcirurgia endoscópica transanal

Contact Info

Product

Resources

About