Novosti
Khirurgii

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Year 2017 Vol. 25 No 1

REVIEWS

K.N. ZHANDAROV.1, S.V. ZHDONETS.1, K.S. BELYUK.2, V.A. MITSKEVICH.1, Y.F. PAKULNEVICH.1

TRANSANAL ENDOSCOPIC MICROSURGERY OF BENIGN AND MALIGNANT RECTAL TUMORS

ME "Grodno Regional Clinical Hospital" 1,
EE "Grodno State Medical University".2,
Grodno,
The Republic of Belarus

The objective of a literature review is to determine the place of the transanal endoscopic microsurgery (TEM) in ñoloproctology, to identify disadvantages and to establish the main directions advancing this technique. An important challenge for colorectal surgeons and oncologists, is the reduction of morbidity, prevention of complications and functional disorders, faster recovery after extensive surgeries, which in the recent past were widely used in the colorectal surgery. At present for this reason preference is given to low-traumatic surgical techniques such as a loop endoscopic electrosurgical excision procedure, traditional transanal excision and method of transanal endomicrosurgery (TEM). It is clear that all methods have their advantages and disadvantages, so as the indications for each. Due to the high cost of the complete set of TEM, the given high-precision method of treating rectal tumors is still not widely used in ñoloproctology. Recently there have been reports about the first experience of using TEO, TAMIS, RTS. TEO (transanal endoscopic operation) – a modified TEM system, with original integrated optical system and the ability to use both established laparoscopic instruments, and original TAMIS (transanal minimal invasive surgery) – the use of SILS Port, Covidien in the anal canal. The conducted analysis has shown that methods of transanal endomicrosurgery are constantly being advanced and find new sites of application in the large intestine and rectum surgery. However some technical moments, such as improvement of straightening of rectum and visualization require further development and improvement.

Keywords: transanal surgery, SILS-port, rectum tumor, ñoloproctology, a loop endoscopic electrosurgical excision procedure, traditional transanal excision, removing rectal tumors
p. 78-86 of the original issue
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Address for correspondence:
230006, the Republic of Belarus,
Grodno, Gorky Str., 80,
EE «Grodno State Medical University».
Department of surgical diseases N1.
Tel.: + 375 29 78-19-403
E-mail: BelyukKS@yandex.ru
Konstantin S. Belyuk
Information about the authors:
Zhandarov K.N. MD, Professor, Head of surgical diseases department N1, EE "Grodno State Medical University".
Zhdonets S.V. Surgeon of ME "Grodno Regional Clinical Hospital".
Belyuk K.S. PhD, Surgeon, Assistant of the surgical diseases department N1, EE "Grodno State Medical University".
Mitskevich V.A. Proctologist of ME "Grodno Regional Clinical Hospital".
Pakulnevich Y.F. Head of proctology and purulent surgery department, ME "Grodno Regional Clinical Hospital".
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