scholarly journals Comparison of the short-term outcomes in lower rectal cancer using three different surgical techniques: Transanal total mesorectal excision (TME), laparoscopic TME, and open TME

2019 ◽  
Vol 42 (6) ◽  
pp. 674-680 ◽  
Author(s):  
Yu-Ting Chen ◽  
Kee-Thai Kiu ◽  
Min-Hsuan Yen ◽  
Tung-Cheng Chang
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Surgical Techniques ◽  
Lower Rectal Cancer ◽  
Transanal Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Short Term ◽  
Laparoscopic Tme

scholarly journals Quality Indicators of Transanal Total Mesorectal Excision (TaTME) for Rectal Cancer

2021 ◽  
Vol 41 (04) ◽  
pp. 411-418
Author(s):  
María Labalde Martínez ◽  
Alfredo Vivas Lopez ◽  
Juan Ocaña Jimenez ◽  
Cristina Nevado García ◽  
Oscar García Villar ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Quality Indicators ◽  
Resection Margin ◽  
Surgical Techniques ◽  
Transanal Total Mesorectal Excision ◽  
Anal Margin ◽  
Mesorectal Excision ◽  
American Society ◽  
Laparoscopic Tme

Abstract Introduction Transanal total mesorectal excision (TaTME) has revolutionized the surgical techniques for lower-third rectal cancer. The aim of the present study was to analyze the outcomes of quality indicators of TaTME for rectal cancer compared with laparoscopic TME (LaTME). Methods A cohort prospective study with 50 (14 female and 36 male) patients, with a mean age of 67 (range: 55.75 to 75.25) years, who underwent surgery for rectal cancer. In total, 20 patients underwent TaTME, and 30, LaTME. Every TaTME procedure was performed by experienced colorectal surgeons. The sample was divided into two groups (TaTME and LaTME), and the quality indicators of the surgery for rectal cancer were analyzed. Results There were no statistically significant differences regarding the patients and the main characteristics of the tumor (age, gender, American Society of Anesthesiologists [ASA] score, body mass index [BMI], tumoral stage, neoadjuvant therapy, and distance from the tumor to the external anal margin) between the two groups. The rates of: postoperative morbidity (TaTME: 35%; LaTME: 30%; p = 0.763); mortality (0%); anastomotic leak (TaTME: 10%; LaTME: 13%; p = 0.722); wound infection (TaTME: 0%; LaTME: 3.3%; p = 0.409); reoperation (TaTME: 5%; LaTME: 6.6%; p = 0.808); and readmission (TaTME: 5%; LaTME: 0%; p = 0.400), as well as the length of the hospital stay (TaTME: 13.5 days; LaTME: 11 days; p = 0.538), were similar in both groups. There were no statistically significant differences in the rates of positive circumferential resection margin (TaTME: 5%; LaTME: 3.3%; p = 0.989) and positive distal resection margin (TaTME: 0%; LaTME: 3.3%; p = 0.400), the completeness of the TME (TaTME: 100%; LaTME: 100%), and the number of lymph nodes harvested (TaTME: 15; LaTME: 15.5; p = 0.882) between two groups. Conclusion Transanal total mesorectal excision is a safe and feasible surgical procedure for middle/lower-third rectal cancer.

scholarly journals Transanal total mesorectal excision for low rectal cancer: a case-matched study comparing TaTME versus standard laparoscopic TME

2018 ◽  
Vol Volume 10 ◽  
pp. 5239-5245 ◽  
Author(s):  
Mateusz Rubinkiewicz ◽  
Michał Nowakowski ◽  
Mateusz Wierdak ◽  
Magdalena Mizera ◽  
Marcin Dembiński ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Low Rectal Cancer ◽  
Transanal Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Matched Study ◽  
Laparoscopic Tme

Complete Transanal Total Mesorectal Excision for Lower Rectal Cancer

2017 ◽  
Vol 60 (8) ◽  
pp. 872-873 ◽  
Author(s):  
Dai Uematsu ◽  
Gaku Akiyama ◽  
Takehiko Sugihara ◽  
Akiko Magishi ◽  
Kojiro Ono ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Lower Rectal Cancer ◽  
Transanal Total Mesorectal Excision ◽  
Mesorectal Excision

scholarly journals Transanal Total Mesorectal Excision (TaTME): Experience in Klaipėda University Hospital

2019 ◽  
Vol 18 (4) ◽  
pp. 235-238
Author(s):  
Vita Klimašauskienė ◽  
Narimantas Evaldas Samalavičius
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Cancer Treatment ◽  
Dentate Line ◽  
University Hospital ◽  
Lithotomy Position ◽  
Transanal Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Rectal Cancer Treatment ◽  
Laparoscopic Tme

Introduction. Colorectal cancer ranks third on the list of the most common cancers. In 1979 R. J. Heald described total mesorectam excision (TME) which became a gold standard for rectal cancer treatment. This operation is performed all over the world open, laparoscopic and robotic. Operating on low and very low rectal cancer, distal bowel mobilisation if often the most difficult part of the operation. Aa a solution to this problem transanal abdominotransanal rectal resection (TATA) and transanal total mesorectal excision (TaTME) were proposed. This article reviews the experience and short-term postoperative outcomes of TaTME performed in Klaipėda University Hospital.Methods. The first stage of surgery was performed with patient placed in the prone jackknife (Kraske) position. Using electrocauthery circular mobilisation of the rectum was performed starting at least 1 cm from the lower edge of the tumour. Up to 10 cm of the rectum was mobilised from below. The second stage was performed with patient in lithotomy position. Laparoscopic TME was performed. For 11 (78.57%) patients hand sown anastomosis was performed and for 1 (7.17%) patient stapler was used. 2 (14.28%) patients underwent the Hartmann’s procedure.Results. In period 2018.03–2019.10 TaTME was performed for 14 patients. The medium tumour high counting from dentate line was 2.54 (±1.28). 13 out of 14 patients were operated from 8 to 12 weeks after chemoradiotherapy. All (100%) rectal resections were radical (R0). On average 11.43 (±3.78) lymphnodes were harvested. 5 (35.71%) patients had complications after surgery.Conclusions. TaTME performed at Klaipėda University Hospital is effective operation for rectal cancer treatment.

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