Transanal endoscopic microsurgery for rectal tumors: a review.

Since its introduction in 1983, transanal endoscopic microsurgery (TEM) has emerged as a safe and effective method to treat rectal lesions including benign tumors, early rectal cancer, and rectal fistulas and strictures. This minimally invasive technique offers the advantages of superior visualization of the lesion and greater access to proximal lesions with lower margin positivity and specimen fragmentation and lower long-term recurrence rates over traditional transanal excision. In addition, over two decades of scientific data support the use of TEM as a viable alternative to radical excision of the rectum with less morbidity, faster recovery, and greater potential cost savings when performed at specialized centers.

• Publication year

  2012

• Venue

  The Permanente Journal

• Publication date

  Unknown publication date

• Fields of study

  Medicine

• Identifiers
  DOI 10.7812/TPP/11-120PMID 22745615PMCID PMC3383161
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Rectal cancer.

  2012cited by this paper
• “Surgeons must be very careful When they take the knife! Underneath their fine incisions Stirs the Culprit - Life!”

  2012cited by this paper
• Local Full-Thickness Excision as First Line Treatment for Sessile Rectal Adenomas: Long-Term Results

  2009cited by this paper
• A predictive model for local recurrence after transanal endoscopic microsurgery for rectal cancer

  2009cited by this paper
• Rectal cancer.

  2009cited by this paper
• Complications after transanal endoscopic microsurgical resection correlate with location of rectal neoplasms

  2008cited by this paper
• Transanal endoscopic microsurgery for the treatment of selected patients with distal rectal cancer: 15 years experience

  2008cited by this paper
• Transanal Endoscopic Microsurgery is more Effective than Traditional Transanal Excision for Resection of Rectal Masses

  2008cited by this paper
• Outcome of Transanal Endoscopic Microsurgery and Adjuvant Radiotherapy in Patients with T2 Rectal Cancer

  2008influential reference
• Long-term Follow-up of Local Rectal Cancer Surgery by Transanal Endoscopic Microsurgery

  2008cited by this paper
• Transanal endoscopic microsurgery is a safe and reliable technique even for complex rectal lesions

  2008cited by this paper
• Transanal endoscopic microsurgery in the treatment of rectal carcinoid tumor

  2007cited by this paper
• A prospective randomized study with a 5-year minimum follow-up evaluation of transanal endoscopic microsurgery versus laparoscopic total mesorectal excision after neoadjuvant therapy

  2007cited by this paper
• Quality of life after transanal endoscopic microsurgery and total mesorectal excision in early rectal cancer

  2007cited by this paper
• Rectal adenocarcinoma and transanal endoscopic microsurgery. Diagnostic challenges, indications and short term results in 142 consecutive patients

  2007cited by this paper
• Cost analysis of transanal endoscopic microsurgery for rectal tumours

  2007cited by this paper
• Optimal Methods for Staging Rectal Cancer

  2007cited by this paper
• Discussion: Diagnostic issues in early-stage disease

  2007cited by this paper
• A prospective comparison of endorectal ultrasound and pelvic magnetic resonance in the preoperative staging of rectal cancer.

  2006cited by this paper
• Transanal Endoscopic Microsurgery for Correction of Rectourethral Fistulae

  2006cited by this paper
• Transanal endoscopic microsurgery in rectal adenomas: experience of six Italian centres.

  2006cited by this paper
• Factors predicting early recurrence after transanal endoscopic microsurgery excision for rectal adenoma

  2006cited by this paper
• Local Recurrence After Transanal Endoscopic Microsurgery for Rectal Polyps and Early Cancers

  2006cited by this paper
• Outcomes for early rectal cancer managed with transanal endoscopic microsurgery

  2006cited by this paper
• The Influence of Histopathologic Criteria on the Long-Term Prognosis of Locally Excised pT1 Rectal Carcinomas: Results of Local Excision (Transanal Endoscopic Microsurgery) and Immediate Reoperation

  2006cited by this paper
• Transanal Endoscopic Microsurgical Resection of pT1 Rectal Tumors

  2006cited by this paper
• Postoperative morbidity and recurrence after local excision of rectal adenomas and rectal cancer by transanal endoscopic microsurgery

  2005cited by this paper
• Transanal Endoscopic Microsurgery: A Systematic Review

  2005cited by this paper
• Transanal Endoscopic Microsurgery: A Prospective Evaluation of Functional Results

  2005cited by this paper
• Transanal endoscopic versus total mesorectal laparoscopic resections of T2–N0 low rectal cancers after neoadjuvant treatment: a prospective randomized trial with a 3-years minimum follow-up period

  2005cited by this paper
• Long‐term results in patients with T2–3 N0 distal rectal cancer undergoing radiotherapy before transanal endoscopic microsurgery

  2005cited by this paper
• Transanal endoscopic microsurgery for carcinoma of the rectum

  2005cited by this paper
• Full-thickness intraperitoneal excision by transanal endoscopic microsurgery does not increase short-term complications.

  2004cited by this paper
• Transanal endoscopic microsurgery: clinical and functional results

  2004cited by this paper
• Transanal endoscopic microsurgery: indications and results after 100 cases

  2004cited by this paper
• Technique of transanal endoscopic microsurgery

  2004cited by this paper
• Transanal endoscopic microsurgery and radical surgery for T1 and T2 rectal cancer

  2003cited by this paper
• Sphincter-saving surgery in patients with rectal cancer treated by radiotherapy and transanal endoscopic microsurgery: 10 years' experience.

  2003cited by this paper
• Transanal endoscopic excision of rectal adenomas

  2003cited by this paper
• Transanal Endoscopic Microsurgery Excision: Is Anorectal Function Compromised?

  2002cited by this paper
• Transanal Endoscopic Microsurgery Excision

  2002cited by this paper
• WHAT IS AN AMERICAN POET

  2001cited by this paper
• Transanal endoscopic microsurgical excision of irradiated and nonirradiated rectal cancer. A 5-year experience.

  1998cited by this paper
• Role of transanal endoscopic microsurgery in the palliative treatment of rectal cancer.

  1997cited by this paper
• Successful treatment of a rectal anastomotic stenosis by transanal endoscopic microsurgery (TEM) using the contact Nd:YAG laser

  1997cited by this paper
• Transanal endoscopic microsurgery—initial experience from three centres in the United Kingdom

  1996cited by this paper
• Surgical cure for early rectal carcinomas (T1)

  1996cited by this paper
• Functional results after transanal endoscopic microsurgery

  1996cited by this paper
• Transanal endoscopic microsurgery in large, sessile adenomas of the rectum

  1995cited by this paper
• Review: transanal endoscopic microsurgery (TEM).

  1993cited by this paper
• Transanal endoscopic microsurgery

  1992cited by this paper

• Transanal endoscopic microsurgery (TEM) for rectal GI stromal tumour.

  2026cites this paper
• A staged approach to resecting a large rectal polyp using endoscopic mucosal resection and trans-anal endoscopic microsurgery: a case report

  2025cites this paper
• Tissue selecting therapy stapler minimally invasive surgery to treat severe hemorrhoids

  2025cites this paper
• Educational strategies used in the teaching of transanal minimally invasive surgery (TAMIS): a scoping review

  2025cites this paper
• Advancements in rectal cancer treatment: the role of short-course radiotherapy-comprehensive overview

  2024cites this paper
• Transanal full-thickness excision for rectal neoplasm: is it advisable to leave the defect open?

  2023cites this paper
• Transanalis műtéti útmutató - második kiadás.

  2022cites this paper
• Surgical and Postoperative Evaluations of Rectal Adenomas Ecised With a Novel Proctoscope.

  2021cites this paper
• Kaiser Permanente Research Brief Colorectal Cancer

  2021cites this paper
• Neoadjuvant Therapy for Locally Advanced Rectal Cancer: Recent Advances and Ongoing Challenges.

  2021cites this paper
• Penetration into free abdominal cavity during transanal endoscopic rectal resection for adenoma

  2021cites this paper
• Evolution of Transanal Total Mesorectal Excision

  2020cites this paper
• Surgical and postoperative evaluations of rectal adenomas excised with a rigid proctoscope 1

  2020cites this paper
• Assessing the safety and outcomes of repeat transanal endoscopic microsurgery

  2019cites this paper
• Surgical outcomes of robotic transanal minimally invasive surgery for selected rectal neoplasms: A single-hospital experience.

  2019cites this paper
• Comparison of Transanal Minimally Invasive Surgery (TAMIS) and Transanal Endoscopic Operations (TEO)

  2019cites this paper
• Transanal resection of rectal cancer: a review

  2019cites this paper
• [Guidance for transanal operations].

  2019cites this paper
• Endoscopic submucosal dissection (ESD) versus transanal endoscopic microsurgery (TEM) for treatment of rectal tumors: a comparative systematic review and meta-analysis

  2019cites this paper
• Neoadjuvant chemotherapy and high-dose radiation using intensity-modulated radiotherapy followed by rectal sparing TEM for distal rectal cancer

  2019cites this paper
• Surgical Techniques in Rectal Cancer

  2018cites this paper
• Local Excision: Transanal Endoscopic Microsurgery and Transanal Minimally Invasive Surgery

  2018cites this paper
• Transanal Endoscopic Microsurgery (TEM) and Transanal Minimally Invasive Surgery (TAMIS)

  2018cites this paper
• Robotic transanal minimally invasive surgery for rectal cancer after clinical complete response to neoadjuvant chemoradiation

  2018cites this paper
• Extent of unnecessary surgery for benign rectal polyps in the Netherlands.

  2017cites this paper
• Transanal endoscopic surgery: patient selection and perspectives

  2016influential citation
• Transanal Minimally Invasive Surgery: State of the Art

  2016cites this paper
• Therapeutic options in radiation-induced rectovaginal fistula

  2016influential citation
• Repair of a colonoscopic perforation of the rectum with transanal endoscopic microsurgery

  2016cites this paper
• Możliwości leczenia popromiennych przetok odbytniczo-pochwowych

  2016influential citation
• Comparison of Transanal Endoscopic Microsurgery and Total Mesorectal Excision in the Treatment of T1 Rectal Cancer: A Meta-Analysis

  2015cites this paper
• Pre- and post-operative evaluation: percentages of circulating myeloid-derived suppressor cells in rectal cancer patients.

  2015cites this paper
• Trans anal endoscopic microsurgery. Modality of treatment in rectal cancer

  2015cites this paper
• Closure of the rectal defect after transanal minimally invasive surgery: a word of caution

  2015cites this paper
• Low rectal cancer: Sphincter preserving techniques-selection of patients, techniques and outcomes.

  2015cites this paper
• Transanal endoscopic surgery as a pathway to NOTES

  2015cites this paper
• [Transanal endoscopic microsurgery].

  2015cites this paper
• TEO: Minimálisan invazív rectumsebészet. Rövid átt ekintés TEO: minimally invasive surgery of the rectum. A short review

  2014cites this paper
• Transanal Endoluminal Total Mesorectal Resection (TETMR) by Transanal Endoscopic Microsurgery (TEM)

  2014cites this paper
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  2014cites this paper
• When and why to use FDG PET/CT in locally advanced rectal cancer: two scenarios.

  2014cites this paper
• TEO: Minimálisan invazív rectumsebészet. Rövid áttekintés

  2014cites this paper
• [TEO: minimally invasive surgery of the rectum. A short review].

  2014cites this paper
• Transanal endoscopic microsurgery for early rectal cancer: single center experience

  2014cites this paper
• Sphincter-Sparing Surgery in Patients with Low-Lying Rectal Cancer: Techniques, Oncologic Outcomes, and Functional Results

  2014cites this paper
• Transluminal approaches to vesicorectal fistula repair.

  2014cites this paper
• Transanal endoscopic microsurgery

  2013cites this paper
• Hybrid transanal endoscopic microsurgery: a novel approach to rectal neoplasm excision

  2013cites this paper
• Treatment Strategies for Metastatic Colorectal Carcinoma - A Mini Review

  2013cites this paper
• Development of a new, minimally invasive, full thickness excision technique for early colonic neoplasia

  2013cites this paper
• Transanal endoscopic microsurgery (TEM) for early rectal cancer: single center experience

  2013cites this paper
• Cirugía transanal a través de puerto único (TAMIS). Revisión frente otras técnicas de excisión endoscópica de lesiones rectales

  2013cites this paper
• A cohort study of sex differences and prognostic biomarkers in colorectal cancer

  2013cites this paper
• Free Intra-Abdominal Air without Peritoneal Perforation after TEM: A Report of Two Cases

  2012cites this paper