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Etamis: Transanal Minimally Invasive Surgical Submucosal Excision of a Large, Circumferential, Rectal Adenoma With Endoscopic Visualization
Elisabeth C. Mclemore, Alisa M. Coker*, Peter T. Yu, Garth R. Jacobsen, Mark a. Talamini, Sonia Ramamoorthy, Santiago Horgan
Surgery, UC San Diego, La Jolla, CA
Technical Points Addressed: Transanal endoluminal surgical techniques can be employed to safely and completely remove a large, circumferential rectal adenoma. This video demonstrates the benefits of combining endoscopic visualization and submucosal injection with minimally invasive endoluminal surgery using a soft, disposable transanal access platform.
Case History: A 51 year old female was found to have a circumferential rectal mass extending from 3cm to 11 cm on flexible endoscopy and non-invasive transrectal ultrasound (uT0N0). Final pathology revealed a 8.5 x 6.2 x 1.5 cm tubulovillous adenoma with high grade dysplasia and negative margins.
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