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Related Concept Videos

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Related Experiment Video

Updated: Jan 6, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Transanal TME - really needed?

Giovanni Dapri1,2

  • 1Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

Innovative Surgical Sciences
|October 4, 2019
PubMed
Summary
This summary is machine-generated.

Natural orifice translumenal endoscopic surgery enables anus-based laparoscopy, increasing transanal procedures like rectal polyp resection and total mesorectal excision. This review details transanal total mesorectal excision techniques, benefits, and drawbacks.

Keywords:
TAMISTaTMElaparoscopytotal mesorectal excisiontransanal

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Area of Science:

  • Minimally Invasive Surgery
  • Gastroenterology
  • Surgical Oncology

Background:

  • Natural orifice translumenal endoscopic surgery (NOTES) has advanced laparoscopic techniques.
  • Transanal endoscopic surgery, utilizing the anus as an access point, has gained significant research and clinical traction.
  • This approach facilitates various procedures, including rectal polyp resection and total mesorectal excision.

Purpose of the Study:

  • To review the technique of transanal total mesorectal excision (TaTME).
  • To discuss the advantages and disadvantages of the TaTME procedure.
  • To highlight the growing role of transanal endoscopic surgery in rectal procedures.

Main Methods:

  • Literature review of transanal endoscopic surgery techniques.
  • Focus on transanal total mesorectal excision (TaTME) methodology.
  • Analysis of perioperative outcomes and complications.

Main Results:

  • Transanal endoscopic surgery is increasingly applied for rectal pathologies.
  • Transanal total mesorectal excision (TaTME) is a prominent and evolving surgical trend.
  • The technique offers potential benefits but also presents specific challenges.

Conclusions:

  • Transanal endoscopic surgery, particularly TaTME, represents a significant advancement in minimally invasive rectal surgery.
  • Understanding the technique, advantages, and disadvantages is crucial for its optimal application.
  • Further research and clinical experience will continue to refine transanal endoscopic approaches.