"3"^^ . "[0918F1FA3724]" . . "Transanal endoscopic microsurgery and its significance in rectal surgery - a review"@en . "7"^^ . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie a jej\u00ED postaven\u00ED v chirurgii rekta - review"@cs . "TEM; surgical rectoscope; transanal endoscopic microsurgery; non-malignant rectal cancer; malignant rectal cancer"@en . . "Transanal endoscopic microsurgery and its significance in rectal surgery - a review"@en . . . . "Ondr\u00E1k, Martin" . . "Transanal endoscopic microsurgery is a novel endoscopis method. Primarily, it has beet developed to manage pathological middle rectum conditions. Over the time, indication criteria for thie procedure have become wider and, duo to technical progress, more extensive procedures on distal and middle rectum. as well as perirectal transanal procedures, could be performed. At the present time, there are clearly specified technical conditions which limit the procedure's extent, in particular the distance from the anus and the extent of rectal circumference affection. At the same time, when the metod started to be used for surgical management of malignant tumors, a question arised, i. e. when the use of surgical rectoscope remains beneficial for a patient and when this method shows inferior long-term outcomes, considering the rate of local relapses and long-term survival rates. Based on the 2007-2010 literature review, the autor aims to present principles to be used in the process of making a decision when the miniinvasive approach should be used and, vice versa, in which conditions the benefit of radical surgery has been demonstarted."@en . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie a jej\u00ED postaven\u00ED v chirurgii rekta - review"@cs . . . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie a jej\u00ED postaven\u00ED v chirurgii rekta - review" . . "http://www.prolekare.cz/rozhledy-v-chirurgii-clanek/transanalni-endoskopicka-mikrochirurgie-a-jeji-postaveni-v-chirurgii-rekta-review-36999?search=Ondr%C3%A1k" . . . . . . "235757" . . . "RIV/00209805:_____/11:#0000213!RIV12-MSM-00209805" . . "\u0160efr, Roman" . . "P(ED2.1.00/03.0101), Z(MZ0MOU2005)" . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie a jej\u00ED postaven\u00ED v chirurgii rekta - review" . "Eber, Zden\u011Bk" . "CZ - \u010Cesk\u00E1 republika" . . . "Rozhledy v chirurgii" . . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie je mlad\u00E1 endoskopick\u00E1 metoda. Byla vyvyinuta prim\u00E1rn\u011B k \u0159e\u0161en\u00ED patologick\u00FDch proces\u016F na st\u0159edn\u00EDm rektu. Postupem \u010Dasu se indika\u010Dn\u00ED krit\u00E9ria roz\u0161i\u0159ovala a s rozvojem techniky umo\u017Enila prov\u00E1d\u011Bt i rozs\u00E1hlej\u0161\u00ED v\u00FDkony v oblasti doln\u00EDho a st\u0159edn\u00EDho rekta, ale i v perirekt\u00E1ln\u00EDm prostoru transan\u00E1ln\u011B. V sou\u010Dasn\u00E9 dob\u011B existuj\u00ED jasn\u011B dan\u00E9 technick\u00E9 mo\u017Enosti, kter\u00E9 limituj\u00ED rozsah prov\u00E1d\u011Bn\u00FDch resekc\u00ED, p\u0159edev\u0161\u00EDm vzd\u00E1lenost od anu a rozsah posti\u017Een\u00ED cirkumference rekta. V okam\u017Eiku, kdy se tato metoda roz\u0161\u00ED\u0159ila i na opera\u010Dn\u00ED \u0159e\u0161en\u00ED zhoubn\u00FDch n\u00E1dor\u016F, vyvstala ot\u00E1zka, kdy je pou\u017E\u00EDt\u00ED opera\u010Dn\u00EDho rektoskopu p\u0159\u00EDnosem pro pacienta a kdy tato metoda vykazuje z dlouhodob\u00E9ho hlediska hor\u0161\u00ED v\u00FDsledky p\u0159edev\u0161\u00EDm v po\u010Dtu lok\u00E1ln\u00EDch recidiv a dlouhodob\u00E9ho p\u0159e\u017Eit\u00ED. V p\u0159ehledu dostupn\u00E9 litaratury z let 2007-2010 se auto\u0159i pokusili nast\u00EDnit z\u00E1sady rozhodov\u00E1n\u00ED. kdy pou\u017E\u00EDt miniinvazivn\u00ED p\u0159\u00EDstup a kdY je prok\u00E1z\u00E1n benefit radik\u00E1ln\u00EDho opera\u010Dn\u00EDho v\u00FDkonu."@cs . . "RIV/00209805:_____/11:#0000213" . "0035-9351" . "8" . "3"^^ . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie je mlad\u00E1 endoskopick\u00E1 metoda. Byla vyvyinuta prim\u00E1rn\u011B k \u0159e\u0161en\u00ED patologick\u00FDch proces\u016F na st\u0159edn\u00EDm rektu. Postupem \u010Dasu se indika\u010Dn\u00ED krit\u00E9ria roz\u0161i\u0159ovala a s rozvojem techniky umo\u017Enila prov\u00E1d\u011Bt i rozs\u00E1hlej\u0161\u00ED v\u00FDkony v oblasti doln\u00EDho a st\u0159edn\u00EDho rekta, ale i v perirekt\u00E1ln\u00EDm prostoru transan\u00E1ln\u011B. V sou\u010Dasn\u00E9 dob\u011B existuj\u00ED jasn\u011B dan\u00E9 technick\u00E9 mo\u017Enosti, kter\u00E9 limituj\u00ED rozsah prov\u00E1d\u011Bn\u00FDch resekc\u00ED, p\u0159edev\u0161\u00EDm vzd\u00E1lenost od anu a rozsah posti\u017Een\u00ED cirkumference rekta. V okam\u017Eiku, kdy se tato metoda roz\u0161\u00ED\u0159ila i na opera\u010Dn\u00ED \u0159e\u0161en\u00ED zhoubn\u00FDch n\u00E1dor\u016F, vyvstala ot\u00E1zka, kdy je pou\u017E\u00EDt\u00ED opera\u010Dn\u00EDho rektoskopu p\u0159\u00EDnosem pro pacienta a kdy tato metoda vykazuje z dlouhodob\u00E9ho hlediska hor\u0161\u00ED v\u00FDsledky p\u0159edev\u0161\u00EDm v po\u010Dtu lok\u00E1ln\u00EDch recidiv a dlouhodob\u00E9ho p\u0159e\u017Eit\u00ED. V p\u0159ehledu dostupn\u00E9 litaratury z let 2007-2010 se auto\u0159i pokusili nast\u00EDnit z\u00E1sady rozhodov\u00E1n\u00ED. kdy pou\u017E\u00EDt miniinvazivn\u00ED p\u0159\u00EDstup a kdY je prok\u00E1z\u00E1n benefit radik\u00E1ln\u00EDho opera\u010Dn\u00EDho v\u00FDkonu." . "90" .