Buess G, Kipfmüller K, Naruhn M, Braunstein S, Junginger T
Department of Surgery, University of Mainz, FRG.
Endoscopy. 1987 Nov;19 Suppl 1:38-42. doi: 10.1055/s-2007-1018307.
Seventy-five patients with sessile adenomas or early carcinomas of the rectum or rectosigmoid were operated on with the new technique "transanal endoscopic microsurgery" Employing a newly developed complex endoscopic operating system, complete removal of sessile adenomas can be accomplished up to a distance of 25 cm from the anal verge, accurately and non-invasively. Complications occurred in three cases, with no resulting mortality. In the follow-up period we discovered only one adenomatous recurrence that required operative treatment. The superior accuracy of preparation, a short average stay in hospital, and low recurrence and complication rates are the advantages of this transanal endoscopic operative technique.
75例患有直肠或直肠乙状结肠无蒂腺瘤或早期癌的患者接受了“经肛门内镜显微手术”这项新技术的治疗。使用新开发的复杂内镜操作系统，距肛缘25厘米范围内的无蒂腺瘤能够准确、无创地完全切除。3例出现并发症，无死亡病例。在随访期，我们仅发现1例腺瘤复发需要手术治疗。这种经肛门内镜手术技术的优点是准备工作精准度高、平均住院时间短、复发率和并发症发生率低。
