Cirugía transanal mínimamente invasiva (TAMIS) en el tratamiento del  cáncer de recto temprano

Erick Rolando Rocha Guevara; Ingrid Gainsborg Rivas; Jorge Camacho Terrazas; Heber Quiroga Vía Heber Quiroga Vía

doi:10.58296/rm.v27i1.32

Autores/as

Erick Rolando Rocha Guevara Servicio de Oncología, Clínica Los Ángeles
Ingrid Gainsborg Rivas Servicio de gastroenterología y endoscopía, Clínica Los Ángeles
Jorge Camacho Terrazas Servicio de gastroenterología y endoscopía, Hospital Univalle Norte
Heber Quiroga Vía Heber Quiroga Vía Servicio de gastroenterología y endoscopía, Clínica Los Ángeles

DOI:

https://doi.org/10.58296/rm.v27i1.32

Palabras clave:

Cáncer colorrectal, microcirugía transanal endoscópica

Resumen

El TAMIS es una técnica mínimamente invasiva que evita la cirugía resectiva convencional. Surgió como una alternativa buena al TEM. El objetivo de este estudio fue demostrar la factibilidad y seguridad del TAMIS en nuestro medio mediante el reporte de una serie de casos tratados en nuestra institución. De enero 2019 a julio 20121 tratamos 5 pacientes, 4 con lesiones malignas tempranas y l con lesión premaligna. El tiempo quirúrgico, promedio fue de 51 minutos, el tamaño promedio de las lesiones fue de 2.2 cms. La estancia hospitalaria fue de 1 día, no se tuvieron complicaciones. No hubo fragmentación de la pieza quirúrgica y los márgenes quirúrgicos fueron negativos. El TAMIS parece ser una técnica factible y segura y la consideramos una alternativa buena, menos traumática y más económica, ante el TEM y la cirugía convencional.

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