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Tips and Tricks.

Matthew Albert1, Lawrence Lee2

  • 1Center for Colon and Rectal Surgery, Orlando, Florida.

Clinics in Colon and Rectal Surgery
|May 1, 2020
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Summary
This summary is machine-generated.

Transanal total mesorectal excision (taTME) is increasingly used for rectal cancer surgery. This overview provides guidance on patient selection, setup, and techniques for novice surgeons to improve outcomes.

Keywords:
equipmentone-team approachoperating room set uppatient selectionpearlsrectal cancertransanal total mesorectal excision

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures
  • Surgical Oncology

Background:

  • Transanal total mesorectal excision (taTME) adoption in rectal cancer surgery has grown exponentially since 2010.
  • While early adopters have mastered the technique, a significant number of surgeons are still novices in taTME.

Purpose of the Study:

  • To overview critical aspects of patient selection for taTME.
  • To provide guidance on operating room setup and equipment for taTME.
  • To describe technical pearls for novice taTME surgeons.

Main Methods:

  • Review of critical aspects of transanal total mesorectal excision (taTME).
  • Overview of patient selection criteria.
  • Description of operating room setup and equipment recommendations.
  • Identification of technical pearls for novice surgeons.

Main Results:

  • taTME is a rapidly growing technique in minimally invasive proctectomy, particularly for rectal cancer.
  • Novice taTME surgeons require specific guidance on patient selection, OR setup, and technical execution.
  • A one-team approach with an experienced proctor is recommended for initial taTME cases.

Conclusions:

  • taTME is a valuable minimally invasive approach for rectal cancer surgery.
  • Structured guidance and support are essential for novice surgeons adopting taTME.
  • Implementing recommended practices can facilitate successful taTME procedures.