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Related Experiment Video

Updated: May 27, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Totally transrectal endoscopic total mesorectal excision (TME).

A M Lacy1, C Adelsdorfer

  • 1Department of Gastrointestinal Surgery, Institute of Digestive and Metabolic Diseases, Hospital Clínic, IDIBAPS, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Centro Esther Koplowitz, University of Barcelona, Barcelona, Spain. alacy@clinic.ub.es

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|November 22, 2011
PubMed
Summary

Natural Orifice Translumenal Endoscopic Surgery (NOTES) using Transanal endoscopic microsurgery (TEM) offers a feasible and safe approach for colorectal resections. This minimally invasive technique reduces abdominal incisions, advancing surgical innovation.

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Locoregional recurrence after transanal total mesorectal excision: an emotional rollercoaster.

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Surgical endoscopy·2020

Area of Science:

  • Minimally invasive surgery
  • Surgical oncology
  • Gastroenterology

Background:

  • Surgical techniques continually evolve to minimize invasiveness.
  • Natural Orifice Translumenal Endoscopic Surgery (NOTES) represents a significant advancement in reducing surgical trauma.
  • Transanal endoscopic microsurgery (TEM) provides an endoscopic route through the anus for advanced procedures.

Observation:

  • TEM enables access to the peritoneal cavity for colorectal procedures.
  • This technique allows for colorectal resections with reduced or absent abdominal incisions.
  • Combined hybrid laparoendoscopic systems are utilized.

Findings:

  • Transanal rectosigmoidectomy with total mesorectal excision (TME) using TEM is a feasible option.
  • The oncological safety of this approach has been demonstrated.

Related Experiment Videos

Last Updated: May 27, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

  • The use of TEM establishes a safe platform for NOTES development.

    • Implications:

    • This hybrid approach defines future clinical applications for NOTES.
    • It encourages the development of new technologies to support NOTES procedures.
    • Minimally invasive colorectal surgery is advanced through this technique.