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Updated: Mar 27, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Four anastomotic techniques following transanal total mesorectal excision (TaTME)
M Penna1, J J Knol2, J B Tuynman3
1Department of Colorectal Surgery, Churchill Hospital, University Hospitals of Oxford, Old Road, Oxford, OX3 7LE, UK. m.penna@doctors.org.uk.
Abstract:
Transanal total mesorectal excision (TaTME) is a novel approach pioneered to tackle the challenges posed by difficult pelvic dissections in rectal cancer and the restrictions in angulation of currently available laparoscopic staplers. To date, four techniques can be employed in order to create the colorectal/coloanal anastomosis following TaTME. We present a technical note describing these techniques and discuss the risks and benefits of each.

