Saclarides Theodore J
Rush Medical College Head, Section of Colon and Rectal Surgery, Rush University Medical Center, Chicago, Illinois, USA.
J Surg Oncol. 2007 Dec 15;96(8):644-50. doi: 10.1002/jso.20922.
Transanal endoscopic microsurgery (TEM) has emerged as a safe method for excising virtually any rectal adenoma and carefully selected cancers. Extended applications include treatment of extra- and supra-sphincteric fistulae, rectovaginal fistulae, anastomotic strictures, and sinus tracts. The procedure utilizes an air-tight system, long shafted instruments, high-quality magnifying optics, and constant carbon dioxide insufflation, all of which facilitate a precise excision and closure with clear margins. Complications are few, most patients can be treated as an outpatient.
经肛门内镜显微手术（TEM）已成为一种安全的方法，可用于切除几乎任何直肠腺瘤和经过精心挑选的癌症。其扩展应用包括治疗括约肌外和括约肌上瘘、直肠阴道瘘、吻合口狭窄和窦道。该手术采用气密系统、长柄器械、高质量放大光学设备和持续二氧化碳气腹，所有这些都有助于进行精确切除并实现切缘清晰的缝合。并发症很少，大多数患者可作为门诊病人接受治疗。
