1. Transanal total mesorectal excision for rectal cancer: state of the art.
- Author
-
Westwood DA, Cuda TJ, Hamilton AER, Clark D, and Stevenson ARL
- Subjects
- Humans, Transanal Endoscopic Surgery education, Treatment Outcome, Rectal Neoplasms surgery, Transanal Endoscopic Surgery adverse effects, Transanal Endoscopic Surgery methods
- Abstract
Achieving a high-quality total mesorectal excision (TME) resection specimen is a central tenet of curative rectal cancer management. However, operating at the caudal extremity of the pelvis is inherently challenging and a number of patient- and tumour-related factors may increase the risk of obtaining a poor TME specimen and positive resection margins. Transanal TME (TaTME) is an advanced surgical technique developed to overcome the limitations in pelvic exposure and instrumentation of transabdominal surgery. This up-to-date narrative review describes the evolution of TME surgery, the indications for TaTME, current published outcomes, its limitations and future developments.
- Published
- 2018
- Full Text
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