Microcirugía transanal endoscópica. Modalidad de tratamiento del cáncer de recto / Trans anal endoscopic microsurgery. Modality of treatment in rectal cancer
la resección radical de recto era, hasta hace pocas décadas, el tratamiento quirúrgico estandarizado para el cáncer rectal, surgiendo en 1983 la microcirugía transanal endoscópica como nueva modalidad.
radical resection was the gold standard in treatment of rectal cancer until few decades, when rise trans anal endoscopic microsurgery like new modality in 1983.
databases reviewed using Infomed portal was done, including articles of TEM in Spanish and English, using DeCS and MeSHs descriptors. Development TEM is indicated in low early rectal tumors, less than 3 centimeters. Actually there is no consensus in its use in T2-T3N0M0 with neoadyuvant therapy, like curative intent. It offers better life quality for patients, with goods oncologic results, and fewer rates of complications, operating range and short hospital stay.