امروز : یکشنبه   ۰۲. مهر ۱۳۹۶   /    3. محرم 1439   /    24. سپتامبر 2017

Middle East Experience With Transanal Endoscopic Microsurgery: Cross-Sectional Study

Abstract

Background: Transanal Endoscopyic Microsurgery (TEM) has been a new method of micro invasive surgery for management of special conditions. Big deal of this procedure is avoiding of open abdominal surgeries or better exposure in transanal approches.

Objectives: The purpose of this study was to present a single institutional experience in Shiraz, Iran regarding the application of Transanal Endoscopic Microsurgery (TEM). To our knowledge this is the first report from the Middle East.

Patients and Methods: Between 2009 and 2012, thirty patients underwent TEM in our center. We assessed complications and recurrence rate. Patients with fewer than six months of follow-up were excluded.

Results: Patients included 17 men and 13 women with the mean age of 44.4 years (ranged 17-80). The mean tumor distance from the anal verge was 9.8 cm. One patient with adenomatous polyp experienced recurrence 14 months postoperatively. Regarding procedure-related complications, one case developed hemorrhage and another one fever and infection in the site of operation. Two patients experienced incontinence for about 3 weeks after TEM surgery.

Conclusions: Considering the cultural and religious context of the Middle East, we recommend TEM procedure in specialized centers in this part of the world.

Keywords: Rectal Neoplasms; Colorectal Surgery; Microsurgery; Endoscopy; Therapeutics

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