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Hybrid transanal endoscopic microsurgery: a novel approach to rectal neoplasm excision
Author(s) -
Marrosu A.,
Paliogiannis P.,
Ruggiu M. W.,
Attene F.,
Trignano M.,
Scognamillo F.
Publication year - 2013
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.12452
Subject(s) - medicine , microsurgery , surgery , endoscopy , lesion
Aim Rectal neoplasm excision is a challenging issue in gastrointestinal endoscopy and surgery. This technical note describes a hybrid method for the excision of challenging rectal neoplasms. Method The procedure consists of the combined use of classic endoscopy and transanal endoscopic microsurgical instrumentation for full‐thickness removal of a recurrent rectal polyp in a patient who had previously undergone endoscopic excision of a Tis rectal adenocarcinoma, located behind the valve of Houston and 9 cm from the anal verge. Results The lesion was removed completely in 50 min with no operative complication. The patient's postoperative course was uneventful, and she was discharged after 5 days. Pathological examination of the specimen confirmed complete resection of the lesion with adequate disease‐free margins. Conclusion Hybrid transanal endoscopic microsurgery successfully combines the precision and flexibility of classic endoscopy with the radicality and safety of transanal endoscopic microsurgery for the treatment of demanding benign or early‐stage malignant rectal tumours.