"Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie (TEM) zaji\u0161\u0165uje exaktn\u00ED excizi lok\u00E1ln\u00EDch, tumor\u00F3zn\u00EDch lez\u00ED rekta. Tato technika vy\u017Eaduj\u00EDc\u00ED specializovan\u00E9ho operat\u00E9ra a dlouhodob\u00E9 zku\u0161enosti doznala po zaveden\u00ED harmonick\u00E9ho skalpelu zna\u010Dn\u00E9ho zjednodu\u0161en\u00ED. V souboru 54 operovan\u00FDch pacient\u016F v letech 2008-2013 technikou TEM bylo 25 s karcinomem rekta. Z tohoto po\u010Dtu byl u 40 % pacient\u016F karcinom diagnostikov\u00E1n a\u017E z definitivn\u00EDho histologick\u00E9ho vy\u0161et\u0159en\u00ED. Recidiva karcinomu do jednoho roku byla zji\u0161t\u011Bna ve t\u0159ech p\u0159\u00EDpadech. TEM je konsenzu\u00E1ln\u011B p\u0159ij\u00EDman\u00FDm zp\u016Fsobem l\u00E9\u010Dby karcinomu rekta u polymorbidn\u00EDch rizikov\u00FDch pacient\u016F. Lok\u00E1ln\u00ED l\u00E9\u010Dba biopticky a endorekt\u00E1ln\u00ED sonografi\u00ED ov\u011B\u0159en\u00FDch T1N0 karcinom\u016F u pacient\u016F schopn\u00FDch resek\u010Dn\u00EDho v\u00FDkonu je nad\u00E1le kontroverzn\u00ED."@cs . . "Hlad\u00EDk, Pavel" . "\u0160najdauf, Martin" . "Pastor, Jan" . "RIV/00216208:11130/14:10286722" . . . . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie (TEM) zaji\u0161\u0165uje exaktn\u00ED excizi lok\u00E1ln\u00EDch, tumor\u00F3zn\u00EDch lez\u00ED rekta. Tato technika vy\u017Eaduj\u00EDc\u00ED specializovan\u00E9ho operat\u00E9ra a dlouhodob\u00E9 zku\u0161enosti doznala po zaveden\u00ED harmonick\u00E9ho skalpelu zna\u010Dn\u00E9ho zjednodu\u0161en\u00ED. V souboru 54 operovan\u00FDch pacient\u016F v letech 2008-2013 technikou TEM bylo 25 s karcinomem rekta. Z tohoto po\u010Dtu byl u 40 % pacient\u016F karcinom diagnostikov\u00E1n a\u017E z definitivn\u00EDho histologick\u00E9ho vy\u0161et\u0159en\u00ED. Recidiva karcinomu do jednoho roku byla zji\u0161t\u011Bna ve t\u0159ech p\u0159\u00EDpadech. TEM je konsenzu\u00E1ln\u011B p\u0159ij\u00EDman\u00FDm zp\u016Fsobem l\u00E9\u010Dby karcinomu rekta u polymorbidn\u00EDch rizikov\u00FDch pacient\u016F. Lok\u00E1ln\u00ED l\u00E9\u010Dba biopticky a endorekt\u00E1ln\u00ED sonografi\u00ED ov\u011B\u0159en\u00FDch T1N0 karcinom\u016F u pacient\u016F schopn\u00FDch resek\u010Dn\u00EDho v\u00FDkonu je nad\u00E1le kontroverzn\u00ED." . "10.14735/amgh2014417" . "68" . "1804-7874" . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie karcinomu rekta na III. chirurgick\u00E9 klinice 1. LF UK a FN v Motole v letech 2008-2013"@cs . "9"^^ . "early rectal carcinoma; rectal adenoma; transanal endoscopic microsurgery"@en . . "Ad\u00E1mek, Svatopluk" . "http://www.prolekare.cz/linkout/50351" . "Na\u0148ka, Ond\u0159ej" . "Gastroenterologie a hepatologie" . . "RIV/00216208:11130/14:10286722!RIV15-MSM-11130___" . . "Transanal endoscopic microsurgery for rectal cancer at the 3rd Surgical Clinic of the 1st Faculty of Medicine, Charles University and the University Hospital in Motol in 2008-2013"@en . "50968" . "5" . "Transanal endoscopic microsurgery for rectal cancer at the 3rd Surgical Clinic of the 1st Faculty of Medicine, Charles University and the University Hospital in Motol in 2008-2013"@en . "Polaneck\u00FD, Ond\u0159ej" . "Smejkal, Milan" . "Grega, Marek" . . "N" . . "Sko\u0159epa, Ji\u0159\u00ED" . . "1"^^ . . "7"^^ . "11130" . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie karcinomu rekta na III. chirurgick\u00E9 klinice 1. LF UK a FN v Motole v letech 2008-2013" . . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie karcinomu rekta na III. chirurgick\u00E9 klinice 1. LF UK a FN v Motole v letech 2008-2013"@cs . "[6978F90F22AA]" . "Transan\u00E1ln\u00ED endoskopick\u00E1 mikrochirurgie karcinomu rekta na III. chirurgick\u00E9 klinice 1. LF UK a FN v Motole v letech 2008-2013" . . . "Transanal endoscopic microsurgery (TEM) enables the surgeon to perform precise local excision of local rectal tumorous lesions. This technique requiring a specialized surgeon with extensive experience, was significantly simplified after the introduction of the harmonic scalpel. In a group of 54 patients treated with this TEM technique between 2008 and 2013, 25 had rectal carcinoma. In 40% of these 25 patients, the final diagnosis was based on a histological examination of a resected specimen postsurgically. Recurrent carcinomas were identified in three cases within one year. TEM is an accepted treatment modality of rectal carcinomas in elderly polymorbid high risk patients. Local treatment of endosonographically and bioptically verified T1N0 carcinomas in patients who are able to undergo surgical resection treatment is still controversial."@en . "CZ - \u010Cesk\u00E1 republika" .