Transanal endoscopic microsurgery

C. J. Smart, C. Cunningham, S. P. Bach

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)


Transanal endoscopic microsurgery (TEMS) is a well established method of accurate resection of specimens from the rectum under binocular vision. This review examines its role in the treatment of benign conditions of the rectum and the evidence to support its use and compliment existing endoscopic treatments. The evolution of TEMS in early rectal cancer and the concepts and outcomes of how it has been utilised to treat patients so far are presented. The bespoke nature of early rectal cancer treatment is changing the standard algorithms of rectal cancer care. The future of TEMS in the organ preserving treatment of early rectal cancer is discussed and how as clinicians we are able to select the correct patients for neoadjuvant or radical treatments accurately. The role of radiotherapy and outcomes from combination treatment using TEMS are presented with suggestions for areas of future research.
Original languageEnglish
Pages (from-to)143-157
Number of pages15
JournalBest Practice & Research: Clinical Gastroenterology
Issue number1
Early online date4 Dec 2013
Publication statusPublished - Feb 2014


  • Transanal endoscopic microsurgery
  • TEM
  • TEMS
  • Early rectal cancer
  • Rectal adenoma
  • Short course radiotherapy
  • Chemoradiotherapy


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