Saclarides Theodore John
Loyola University Medical Center, Maywood, California.
Clin Colon Rectal Surg. 2015 Sep;28(3):165-75. doi: 10.1055/s-0035-1562889.
Transanal endoscopic microsurgery (TEM) was developed by Professor Gerhard Buess 30 years ago at the dawn of minimally invasive surgery. TEM utilizes a closed proctoscopic system whereby endoluminal surgery is accomplished with high-definition magnification, constant CO2 insufflation, and long-shafted instruments. The end result is a more precise excision and closure compared to conventional instrumentation. Virtually any benign lesion can be addressed with this technology; however, proper patient selection is paramount when using it for cancer.
经肛门内镜显微手术(TEM)是30年前在微创外科手术兴起之初由格哈德·布斯教授研发的。TEM使用一种封闭的直肠镜系统,通过该系统可利用高清放大、持续二氧化碳气腹和长柄器械完成腔内手术。与传统器械相比,最终结果是切除和缝合更加精确。实际上,这项技术可以处理几乎任何良性病变;然而,将其用于癌症治疗时,正确选择患者至关重要。