{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T01:48:19Z","timestamp":1751420899251},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,3,20]],"date-time":"2013-03-20T00:00:00Z","timestamp":1363737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Colorectal adenoma is a recognized precancerous lesion that has the potential for malignant transformation. Surgical resection of colorectal adenomas is required for exact diagnosis and treatment. The aim of this study is to assess the safety and therapeutic effect of transanal endoscopic microsurgery for preoperatively diagnosed colorectal adenomas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>eptember 2006 to <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ebruary 2011, 45 patients with preoperatively diagnosed colon and rectal adenomas underwent transanal endoscopic microsurgery. The clinical data of these patients were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean tumor diameter was 2.2\u2009cm, mean operative time was 65\u2009min, and the mean estimated blood loss was less than 10\u2009mL. There was no conversion to transabdominal procedure. The mean tumor distance from the anal verge was 8.2\u2009cm. Four patients had perforation into the peritoneal cavity during full\u2010thickness resection; these were repaired by continuous suturing, and there was no postoperative leakage after 1\u2009week of fasting. The surgical margins of specimens were negative in 44 patients. Complications included rectal bleeding in one patient, acute urinary retention in one patient and pulmonary infection in one patient. The mean postoperative hospital stay was 4.5\u2009days. Only one patient experienced incontinence of hard stool 6 months after surgery. The patients were followed up for a median period of 42\u2009months, with four cases of tumor recurrence observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transanal endoscopic microsurgery is a safe and effective technique for excising large adenomas in the mid and upper rectum and in the lower sigmoid colon. It is also an oncologically preferred method for T1 focal carcinomas that develop from villous adenomas.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12027","type":"journal-article","created":{"date-parts":[[2013,3,20]],"date-time":"2013-03-20T06:20:54Z","timestamp":1363760454000},"page":"177-180","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of preoperatively diagnosed colorectal adenomas by transanal endoscopic microsurgery: <scp>T<\/scp>he experience in <scp>C<\/scp>hina"],"prefix":"10.1111","volume":"6","author":[{"given":"Yi","family":"Han","sequence":"first","affiliation":[{"name":"Department of General Surgery RuiJin Hospital Affiliated Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong\u2010Gang","family":"He","sequence":"additional","affiliation":[{"name":"Department of General Surgery RuiJin Hospital Affiliated Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mou\u2010Bin","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of General Surgery RuiJin Hospital Affiliated Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao\u2010Bo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery RuiJin Hospital Affiliated Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke\u2010Zhi","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of General Surgery RuiJin Hospital Affiliated Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya\u2010Jie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery RuiJin Hospital Affiliated Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of General Surgery RuiJin Hospital Affiliated Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,20]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Principles and practice of surgery for the colon, rectum, and anus","author":"Gordon PH","year":"1999"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-005-0044-6"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.3851"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/s00384-002-0441-4","article-title":"Surgical cure for early rectal carcinoma and large adenoma: Transanal endoscopic microsurgery(using ultrasound or electrosurgery) compared to conventional local and radical resection","volume":"18","author":"Langer C","year":"2003","journal-title":"Int J Colorectal Dis"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/S1055-3207(18)30059-0","article-title":"Transanal endoscopic microsurgery","volume":"10","author":"Buess GF","year":"2001","journal-title":"Surg Oncol Clin N Am"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2005.11.014"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.72.278"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000091957"},{"key":"e_1_2_6_10_1","first-page":"39","article-title":"Transanal endoscopic microsurgery for rectal intraepithelial neoplasia and early rectal carcinoma","volume":"11","author":"Lin GL","year":"2008","journal-title":"Zhonghua Wei Chang Wai Ke Za Zhi"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.03.005"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0804-8"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2004.03364.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.6.595"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(75)90430-4"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2008.12.010"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234796"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054683"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9089-0"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01719.x"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fases.12027","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.12027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T03:21:05Z","timestamp":1696303265000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.12027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,20]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1111\/ases.12027"],"URL":"https:\/\/doi.org\/10.1111\/ases.12027","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,20]]}}}