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2015, Number 4

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Revista Habanera de Ciencias Médicas 2015; 14 (4)

Trans anal endoscopic microsurgery. Modality of treatment in rectal cancer

Sardiñas PR, Barreras GJE

Language: Spanish
References: 37
Page: 478-487
PDF size: 83.28 Kb.


ABSTRACT

Introduction: radical resection was the gold standard in treatment of rectal cancer until few decades, when rise trans anal endoscopic microsurgery like new modality in 1983.
Objective: to offer an update about trans anal endoscopy microsurgery and describe the current status of technique in treatment of rectal cancer.
Material and Methods: databases reviewed using Infomed portal was done, including articles of TEM in Spanish and English, using DeCS and MeSH’s descriptors.
Development: TEM is indicated in low early rectal tumors, less than 3 centimeters. Actually there is no consensus in its use in T2-T3N0M0 with neoadyuvant therapy, like curative intent. It offers better life quality for patients, with goods oncologic results, and fewer rates of complications, operating range and short hospital stay.
Conclusions: TEM is safety and effective technique in treatment of low early rectal cancer.


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