scholarly journals Tips and Tricks

2020 ◽  
Vol 33 (03) ◽  
pp. 173-179
Author(s):  
Matthew Albert ◽  
Lawrence Lee
Keyword(s):  
Rectal Cancer Surgery ◽  
Transanal Total Mesorectal Excision ◽  
Team Approach ◽  
Tips And Tricks ◽  
Mesorectal Excision ◽  
Early Adopters ◽  
Set Up ◽  
Critical Aspects

AbstractThe role of transanal total mesorectal excision (taTME) in minimally invasive proctectomy, especially rectal cancer surgery, is increasing. There has been exponential growth in uptake from the initial in vivo case in 2010 to the present day. Early adopters of taTME are well within the mature portions of their learning curve, but there are a significant number of novice taTME surgeons. We have overviewed the critical aspects of patient selection, operating room set-up, and necessary equipment. In particular, we recommend that a one-team approach is used for the early cases, and ideally with an experienced proctor. The important technical pearls that will aid the novice taTME surgeon were also described.

scholarly journals Evolution of transanal total mesorectal excision according to the IDEAL framework

2019 ◽  
Vol 1 (1) ◽  
pp. e000004 ◽  
Author(s):  
Sapho Xenia Roodbeen ◽  
Annalisa lo Conte ◽  
Allison Hirst ◽  
Marta Penna ◽  
Willem A Bemelman ◽  
...  
Keyword(s):  
Total Mesorectal Excision ◽  
Rectal Cancer Surgery ◽  
Transanal Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Surgical Innovation ◽  
The Past ◽  
Ideal Framework ◽  
New Surgical Technique ◽  
The Ideal

Tremendous innovations have taken place in surgical procedures, but contrary to drug development, this process has been unregulated in the past. IDEAL promotes a structured framework for the safe implementation and assessment of a new surgical technique or intervention, by describing five stages for evaluating and reporting of innovations: Idea, Development, Exploration, Assessment and Long term. Transanal total mesorectal excision (TaTME) is a relatively new technique in rectal cancer surgery that has attracted huge interest and increasing adoption worldwide. This review article aims to provide an overview of the evolution of TaTME, according to the IDEAL framework, which guides us in the difficult yet exciting process of surgical innovation.

Új távlatok a végbélrák sebészetében: Transanalis teljes mesorectum excisio. Kezdeti eredményeink

2018 ◽  
Vol 159 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Géza Papp ◽  
Balázs Bánky ◽  
Miklós Lakatos ◽  
Imre Svastics ◽  
Ákos Burány ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Perioperative Complications ◽  
Technical Problem ◽  
Case Series ◽  
Cancer Surgery ◽  
Laparoscopic Technique ◽  
Rectal Cancer Surgery ◽  
Transanal Total Mesorectal Excision ◽  
Mesorectal Excision

Abstract: Introduction: Colorectal cancer is the second most frequent cause of oncologic mortality. Its key prognostic factors are operability and surgical quality. Total mesorectal excision is the gold standard of rectal cancer surgery, however, it is hardly achievable with the laparoscopic technique in a number of cases due to anatomical issues. Transanal total mesorectal excision (TaTME) is a new operative concept, which may address this technical problem. Aim: We aimed to present the initial Hungarian experiences with the new technique. Method: Retrospective analysis of clinical data of the first year case series at two Hungarian centers initiating the technique. Results: A total of 17 transanal total mesorectal excision (TaTME) operations were performed at two centers. Major perioperative complications happened in two cases. There was no 30-day mortality. Conclusions: Early Hungarian experiences with transanal total mesorectal excision (TaTME) give hope of a brand new era of rectal cancer surgery. Orv Hetil. 2018; 159(1): 16–22.

scholarly journals Quality of life after rectal cancer surgery: differences between laparoscopic and transanal total mesorectal excision

2018 ◽  
Vol 33 (1) ◽  
pp. 79-87 ◽  
Author(s):  
Marloes Veltcamp Helbach ◽  
Thomas W. A. Koedam ◽  
Joep J. Knol ◽  
Simone Velthuis ◽  
H. Jaap Bonjer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Transanal Total Mesorectal Excision ◽  
Mesorectal Excision
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