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Related Experiment Video

Updated: Dec 22, 2025

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

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

Published on: February 12, 2022

Learning Transanal Total Mesorectal Excision.

Elisabeth C McLemore¹, Peyman Lavi¹, Vikram Attaluri¹

¹Department of Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California.

Clinics in Colon and Rectal Surgery

|May 1, 2020

Summary

This summary is machine-generated.

Transanal total mesorectal excision (taTME) is an advanced rectal cancer surgery. Learning this complex technique requires specific training, including cadaver practice and case selection, for optimal outcomes.

Keywords:

rectal cancer taTME total mesorectal excision training transanal

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Area of Science:

Colorectal Surgery
Surgical Oncology
Minimally Invasive Surgery

Background:

Transanal surgery has evolved significantly, moving from simple mass removal to complex procedures like transanal total mesorectal excision (taTME).
taTME, first performed in 2009, represents a major advancement in minimally invasive rectal cancer treatment.

Purpose of the Study:

To document the training pathways of taTME pioneers.
To outline consensus-based recommendations for learning the taTME technique.
To identify key elements for successful taTME implementation and improved patient outcomes.

Main Methods:

A literature search was conducted focusing on taTME training, learning curves, and surgical techniques.
Analysis of consensus reports and pioneer experiences in taTME.

Main Results:

Essential components for learning taTME include proper patient selection (mid/low rectal cancers), cadaver training, and outcomes reporting via registries.
Consensus emphasizes prerequisite laparoscopic colorectal surgery training, prior transanal endoscopic surgery experience, and a two-team approach.
High-volume rectal cancer surgical practice is associated with better outcomes.

Conclusions:

taTME is a complex, advanced surgical technique for rectal cancer requiring dedicated, specialized training.
Successful adoption of taTME necessitates adherence to established training protocols and consensus guidelines.
Surgeons must possess significant experience in total mesorectal excision (TME) surgery before undertaking taTME.