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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1995-3-28
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pubmed:abstractText |
Transanal endoscopic microsurgery (TEM) presents a minimally invasive procedure for local removal of large adenomas as well as early carcinomas of the rectum. 57 surgical departments/clinics, which practice this method in Germany were asked about their experience. 44 questionnaires were evaluated. Indications for the 1,900 recorded operations were 1,411 adenomas, 433 carcinomas (curative intention: 286; palliative intention: 147), and 56 other procedures. The conversion rate to laparotomy was dependent on the experience with this surgical method (1.2%-11.6%). A radical rectal resection as a second step was performed in 5.7% of patients in the case of advanced carcinoma in the histologic examination of the specimen. Complications appeared in 120 patients (6.3%), 77 patients (4.0%) recovered with conservative treatment, and 43 (2.3%) had to undergo surgery. The mortality rate was 0.2% (3/1,900 pts).
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0942-6027
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
251-4
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:7866756-Anal Canal,
pubmed-meshheading:7866756-Anti-Bacterial Agents,
pubmed-meshheading:7866756-Germany,
pubmed-meshheading:7866756-Humans,
pubmed-meshheading:7866756-Microscopy,
pubmed-meshheading:7866756-Neoplasm Staging,
pubmed-meshheading:7866756-Postoperative Complications,
pubmed-meshheading:7866756-Premedication,
pubmed-meshheading:7866756-Preoperative Care,
pubmed-meshheading:7866756-Proctoscopy,
pubmed-meshheading:7866756-Rectal Neoplasms,
pubmed-meshheading:7866756-Retrospective Studies,
pubmed-meshheading:7866756-Surgery Department, Hospital,
pubmed-meshheading:7866756-Survival Rate,
pubmed-meshheading:7866756-Time Factors,
pubmed-meshheading:7866756-Treatment Outcome
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pubmed:year |
1994
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pubmed:articleTitle |
Experience with TEM in Germany.
|
pubmed:affiliation |
Dept. of General Surgery, University Hospital, Freiburg, Germany.
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pubmed:publicationType |
Journal Article,
Multicenter Study
|