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Endoluminal Surgery: Transanal Endoscopic Microsurgery of a Ut0 Lesion of the MID-Rectum
John Marks*, Daniel Hunt, Lauren Kosinski, Hsiao-Ling Shen, Gerald Marks
Lankenau Hospital and Institute for Medical Research, Wynnewood, PA

Endoluminal surgery represents the ultimate in minimally invasive approaches. Transanal Endoscopic Microsurgery (TEM) allows access to rectal lesions up to the rectosigmoid that would otherwise require a major abdominal operation. This is an especially attractive approach for patients with significant comorbidities. This video demonstrates a full thickness TEM excision of a uT0 rectal mass at the 10cm level. This is carried out in a 78 y.o. medically compromised man unsuitable for a major abdominal operation. Demonstrated is the superior optics and reach available with the TEM approach. This video highlights the technical aspects of the procedure.

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