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dc.contributor.authorBloomfield, Ian
dc.contributor.authorVan Dalen, Roelof
dc.contributor.authorLolohea, Simione
dc.contributor.authorWu, Linus
dc.date.accessioned2020-06-24T00:01:33Z
dc.date.available2020-06-24T00:01:33Z
dc.date.issued2018
dc.identifier.issn1445-1433
dc.identifier.doi10.1111/ans.14142
dc.identifier.urihttp://hdl.handle.net/10072/394823
dc.description.abstractBackground: Transanal endoscopic microsurgery (TEMS) is a proven alternative therapy to either radical surgery or endoscopic mucosal resection for rectal neoplasms. It has proven benefits with lower morbidity and mortality compared with total mesorectal excision, and a lower local recurrence rate when compared to endoscopic mucosal techniques. Methods: A retrospective data collection of TEMS procedures performed through Waikato District Health Board, New Zealand, from 2010 to 2015 was conducted. Supportive follow-up data were sourced from patient records and from local centres around New Zealand. Results: A total of 137 procedures were performed over the study period, with five being repeat procedures. Procedures were mostly performed for benign lesions (66.4%) with an overall complication rate of 15.3%, only five of which were Clavien–Dindo grade III (3.6%). Our local recurrence rate after resection of benign lesions was 5.1%. Conclusion: Our data set demonstrates the TEMS procedure to be safe compared to radical resection (total mesorectal excision) for sessile rectal lesions. Close endoscopic follow-up is recommended, especially for close or incomplete margins. Good therapeutic results can be obtained for appropriately selected early malignant lesions. TEMS provides better oncological results than endoscopic mucosal resection or transanal excision.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefrom592
dc.relation.ispartofpageto596
dc.relation.ispartofissue6
dc.relation.ispartofjournalANZ Journal of Surgery
dc.relation.ispartofvolume88
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode1103
dc.subject.keywordsNew Zealand
dc.subject.keywordsmicrosurgery
dc.subject.keywordspolyp
dc.subject.keywordsrectal neoplasm
dc.subject.keywordsretrospective study
dc.titleTransanal endoscopic microsurgery: a New Zealand experience
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBloomfield, I; Van Dalen, R; Lolohea, S; Wu, L, Transanal endoscopic microsurgery: a New Zealand experience, ANZ Journal of Surgery, 2018, 88 (6), pp. 592-596
dcterms.dateAccepted2017-06-11
dc.date.updated2020-06-23T23:50:26Z
gro.hasfulltextNo Full Text
gro.griffith.authorBloomfield, Ian


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