Glove Port Technique for Transanal Endoscopic Microsurgery
Joint Authors
Zappalà, Orazio
Mangiola, Daniela
Motter, Michele
Fabio, Gasperetti
Massimo, Silvestri
Carrara, Alessandro
Andrea, Tirone
Tirone, Giuseppe
Gianmarco, Ghezzi
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-03
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Despite initial enthusiasm, the use of transanal endoscopic microsurgery (TEM) is still quite limited at present because of the expense of highly specialized equipment and the complexity of the learning curve.
Furthermore, some authors report a relevant, although temporary, effect on anorectal function because of the considerable anal dilatation which can even produce a rupture of the internal anal sphincter.
The “glove TEM” proposes itself as an alternative to traditional TEM that could settle these problems.
Materials and Methods.
The technique is accurately described together with the necessary equipment to perform it.
Between 2011 and 2012, we operated eight patients with this technique for rectal adenomas or early carcinomas achieving R0 resection in all cases and reporting no early or late complications during the first five months of followup.
Discussion.
This technique offers multiple advantages compared to the original TEM.
(i) It allows the use of all available laparoscopic instruments.
(ii) It gives a great manoeuvrability of the instruments in contrast to rigid rectoscope systems.
(iii) Given the limited length of the device, it permits to operate on tumors closer to the dentate line.
(iv) It is less traumatic to the anal sphincter.
It is definitively much cheaper.
Conclusions.
We believe that this new technique is easy to perform, cost-effective, and less traumatic to the anal sphincter compared to traditional TEM.
American Psychological Association (APA)
Carrara, Alessandro& Mangiola, Daniela& Motter, Michele& Andrea, Tirone& Gianmarco, Ghezzi& Massimo, Silvestri…[et al.]. 2012. Glove Port Technique for Transanal Endoscopic Microsurgery. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-467739
Modern Language Association (MLA)
Carrara, Alessandro…[et al.]. Glove Port Technique for Transanal Endoscopic Microsurgery. International Journal of Surgical Oncology No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-467739
American Medical Association (AMA)
Carrara, Alessandro& Mangiola, Daniela& Motter, Michele& Andrea, Tirone& Gianmarco, Ghezzi& Massimo, Silvestri…[et al.]. Glove Port Technique for Transanal Endoscopic Microsurgery. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-467739
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-467739