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Surg Laparosc Endosc Percutan Tech ; 24(4): e143-5, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24710231

RESUMO

INTRODUCTION: Transanal endoscopic microsurgery is a widely used and valid technique with established indications. However, the cost of surgical anoscopes is not available in all centers. Many authors have described transanal resection of rectal tumors through a single laparoscopy port such as the SILS system. MATERIALS AND METHODS: We analyzed 5 cases of patients undergoing transanal resection with an SILS device. The clinical, surgical, and oncological data were assessed. RESULTS: The median distance to the anal margin was 7.2 cm (range, 5 to 10 cm) and median tumor size was 3 cm (range, 1 to 6 cm). Median operating time was 75 minutes (range, 60 to 120 min). A postsurgical rectorrhagia occurred in 1 of the case. Two cases were adenocarcinoma, 2 were adenomas, and the other was a mucosa without any tumor remnants. The margins were negative in all cases. CONCLUSIONS: Transanal resection of rectal tumors using the SILS technique is a feasible procedure. Longer series and prospective studies are necessary.


Assuntos
Adenocarcinoma/cirurgia , Adenoma Viloso/cirurgia , Colectomia/métodos , Endoscópios , Microcirurgia/métodos , Cirurgia Endoscópica por Orifício Natural/instrumentação , Neoplasias Retais/cirurgia , Adenocarcinoma/diagnóstico , Adenoma Viloso/diagnóstico , Idoso , Canal Anal , Biópsia , Colonoscopia , Endossonografia , Desenho de Equipamento , Humanos , Masculino , Pessoa de Meia-Idade , Ressonância Magnética Nuclear Biomolecular , Neoplasias Retais/diagnóstico , Resultado do Tratamento
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