This journal only 2004, Number 4 Rev Mex Cir Endoscop 2004; 5 (4) Transrectal endoscopic microsurgery for the resection of rectal adenoma González GJA Full text How to cite this article Language: Spanish References: 8 Page: 165-171 PDF size: 329.11 Kb. Key words: Transanal endoscopic microsurgery, rectal adenoma, rectal carcinoma, local resection of rectal tumors. ABSTRACT Transrectal endoscopic microsurgery is a procedure introduced in Germany in the beginning of the 80-decade. Its application in the resection of recto sigmoideal lesions is accepted every day with more enthusiasm. The adenoma is a frequent disease and the utilization of this procedure for the local treatment of the tumor offers great benefits and excellent results. By using a 40 mm wide and 20 cm long operating resctoscope sealed with a gastight working insert to prevent pressure loss after creation of a pneumorectum and a stereoscopic optic, exact visualization of a rectal tumor can be achieved. The insertion of endoscopic surgical instruments like the high frequency knife, forceps, scissors and suction device allows precise excision of the lesion as well as suture closure of the wound. In this work I report the experience with 32 patients suffering rectal villous adenoma and treated by transrectal endoscopic microsurgery, TEM REFERENCES Buess G, Kipfmuller K, Hack D et al. Technique of Transanal endoscopic microsurgery. Surg Endosc 1988; 2: 71-75. Schafer D, Mentges B, Mentges B, Backer HD. Endo-anal-techniques: the technique of transanal endoscopic microsurgery and results of a 10-year experience. Current Practice in Surgery 1995; 7: 114-117. Heintz A, Morschel M, Junginger T. Comparison of results after transanal endoscopic microsurgery and radical resection in t1 carcinoma of the rectum. Surg Endosc 1998; 12: 1145-1148. Kanehira E, Raestrup H, Schurr MO et al. Transanal endoscopic microsurgery using a newly designed multifunctional bipolar cutting and monopolar coagulating instrument. Endosc Surg Allied Technol 1993; 1: 102-106. Lezoche E, Feliciotty F. Long term results of laparoscopic rectal resections. International Symposium Rectal Cancer, Urbino, 2000. Mentges B, Buess G, Schaefer D et al. Local therapy of rectal tumors. Dis Colon Rectum 1996; 39: 886-892. Mentges B, Buess G, Effinger G et al. Indications and results of local treatment of rectal cancer. Br J Surg 1997; 84: 348-351. Morschel M, Hintz A, Bussmann M et al. Follow up after transanal endoscopic microsurgery or transanal excision of large benign rectal polyps. Langenbecks Arch Surg 1998; 383: 320-324.