Transanal endoscopic microsurgery (TEM)
The description of the transanal endoscopic microsurgery (TEM) covers all aspects of the surgical procedure used for the local excision of rectal tumors located between 4 cm and 18 cm above the anal verge. Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: resection, repair. Consequently, this operating technique is well standardized for the management of this condition.