Introduction: The microscopic trans-anal surgery is an important application of the mininvasive surgery of the rectum. The evaluation of the linfonodular involvement represents a limit to the conservative procedure.
Patients and methods: Between January 2004 to December 2010, 14 patients have been chosen and undergone surgery with mininvasive treatment for primary rectum cancer (early rectal cancer).
Results: After a follow-up of about 36 months (8-72) we encountered only one local recurrences on a patient with a T2 lesion, also treated with mininvasive treatment.
Conclusion: The results obtained by us using the T.E.M. have been all around very encouraging for the treatment of early rectal cancer.