Use of a SILS Port in Transanal Endoscopic Microsurgery in the Setting of a Community Hospital
Bibliographic record
Abstract
Transanal endoscopic microsurgery (TEM) is a well-known technique for the removal of rectal lesions. This operation poses several advantages over traditional anal excision, which include better visibility of the rectum, more precise border excision, and a lower recurrence rate of benign and stage T1 malignant neoplasms. Introducing a SILS™ port (Covidien) into the anal canal (originally developed for single-incision laparoscopic surgery), instead of the TEM proctoscope, may further enhance the technique. We performed excisions of rectal lesions in 3 patients using a SILS port in TEM. In all cases, it was easy to maintain the rectum insufflated, and the visibility was excellent. The rectal lesions were successfully resected without significant intraoperative complications. Postoperative recovery was uneventful in both cases. TEM with a SILS port is a promising technique that may provide several advantages over the traditional TEM, including cost-effectiveness, and can be easily implemented in the setting of a community hospital.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".