{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T23:07:58Z","timestamp":1789427278086,"version":"build-2803163510"},"reference-count":49,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Bei den transanalen Resektionsverfahren handelt es sich um spezielle Operationsmethoden der minimalinvasiven Therapie von Rektumtumoren. Neben gutartigen Tumoren eignet sich diese\n            Operationsmethode f\u00fcr die Resektion von sog. Low-Risk-T1-Rektumkarzinomen, wenn diese aufgrund ihrer Gr\u00f6\u00dfe und Lokalisation sicher im Gesunden (R0) entfernt werden k\u00f6nnen. Bei stringenter\n            Patientenselektion werden sehr gute onkologische Ergebnisse erzielt. Derzeit wird in diversen internationalen Studien evaluiert, ob lokale Resektionsverfahren onkologisch ausreichend sind,\n            wenn eine komplette oder fast komplette Remission nach neoadjuvanter Radio-\/Chemotherapie vorliegt. Zahlreiche Untersuchungen belegen, dass insbesondere die funktionellen Resultate und die\n            postoperative Lebensqualit\u00e4t nach lokalen Resektionen hervorragend sind, zumal als Alternativoperationen die tiefe Rektumresektion bzw. die abdominoperineale Exstirpation zu diskutieren\n            sind, die bekannterma\u00dfen sehr h\u00e4ufig mit funktionellen Defiziten einhergehen.<\/jats:p><jats:p>Schwere Komplikationen sind sehr selten. Typische Minorkomplikationen sind ein postoperativer Harnverhalt oder transiente Temperaturerh\u00f6hungen. Eine Nahtdehiszenz verl\u00e4uft i.\u00a0d.\u00a0R.\n            klinisch inapparent. Als relevante Komplikationen sind vor allem Nachblutungen und die Er\u00f6ffnung des Peritoneums zu nennen. Letztere m\u00fcssen intraoperativ erkannt und entsprechend versorgt\n            werden, was meist transanal oder minimalinvasiv gelingt. Sehr selten kommt es zu Infektionen, Abszessen, rektovaginalen Fisteln oder Verletzungen von Prostata und Harnr\u00f6hre.<\/jats:p>","DOI":"10.1055\/a-2063-3578","type":"journal-article","created":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T22:40:17Z","timestamp":1685745617000},"page":"244-253","source":"Crossref","is-referenced-by-count":1,"title":["Transanale Tumorresektion: Indikation, Operationstechniken und Komplikationsmanagement"],"prefix":"10.1055","volume":"148","author":[{"given":"Marco","family":"Sailer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Agaplesion Bethesda Krankenhaus Bergedorf, Hamburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"key":"ref1","first-page":"441","article-title":"A technique for excising extensive villous papillomatous change in the lower rectum","volume":"61","author":"AG Parks","year":"1968","journal-title":"Proc R Soc Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/BF00704356","article-title":"Technique of transanal endoscopic microsurgery","volume":"2","author":"G Bue\u00df","year":"1988","journal-title":"Surg Endosc"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1002\/bjs.6456","article-title":"A predictive model for local recurrence after transanal endoscopic microsurgery for rectal cancer","volume":"96","author":"J BachSPHill","year":"2009","journal-title":"Br J Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1097\/SLA.0b013e3181a3e54b","article-title":"Transanal endoscopic microsurgery versus conventional transanal excision for patients with early rectal cancer","volume":"249","author":"D Christoferidis","year":"2009","journal-title":"Ann Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.1007\/s10350-008-9337-x","article-title":"Transanal endoscopic microsurgery is more effective than traditional transanal excision for resection of rectal masses","volume":"51","author":"JS Moore","year":"2008","journal-title":"Dis Colon Rectum"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"9156","DOI":"10.1007\/s00464-022-09396-3","article-title":"Risk of recurrence after local resection of T1 rectal cancer: a meta-analysis with meta-regression","volume":"36","author":"N Dekkers","year":"2022","journal-title":"Surg Endosc"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2200","DOI":"10.1007\/s00464-010-0927-z","article-title":"Transanal minimally invasive surgery: giant leap forward","volume":"24","author":"S Atallah","year":"2010","journal-title":"Surg Endosc"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s10151-019-01954-7","article-title":"TAMIS is a valuable alternative to TEM for resection of intraluminal rectal tumors","volume":"23","author":"F Van den Eynde","year":"2019","journal-title":"Techniques in Coloproctology"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1055\/s-2006-942223","article-title":"Stellenwert der lokalen Exzision von Rektumkarzinomen","volume":"41","author":"T Borschitz","year":"2006","journal-title":"Viszeralchirurgie"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"376","DOI":"10.3816\/CCC.2008.n.050","article-title":"Local excision of rectal carcinoma","volume":"7","author":"E Kim","year":"2008","journal-title":"Clin Colorectal Cancer"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1002\/bjs.6127","article-title":"Management of early rectal cancer","volume":"95","author":"MG Tytherleigh","year":"2008","journal-title":"Br J Surg"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1007\/s00104-003-0745-0","article-title":"Lokale Therapieprinzipien beim Rektumkarzinom","volume":"10","author":"KE Matzel","year":"2003","journal-title":"Chirurg"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1046\/j.1463-1318.2002.00293.x","article-title":"Transanal full-thickness excision of rectal tumors: should the defect be sutured? 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