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[Research progress and future development prospect of transanal total mesorectal excision].

S L Luo1, L Kang1

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|August 19, 2021
PubMed
Summary

Transanal total mesorectal excision (taTME) is a safe colorectal surgery technique. While outcomes are similar to traditional methods, taTME shows promise for better functional recovery and treating complex pelvic diseases.

Keywords:
LaparoscopeRectal neoplasmsRobotic surgical platformTotal mesorectal excision, transanal

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Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Transanal total mesorectal excision (taTME) is a recent advancement in colorectal surgery.
  • While generally considered safe and feasible, concerns exist regarding complication rates and local recurrence compared to laparoscopic surgery.

Purpose of the Study:

  • To review and analyze the short-term and long-term outcomes of taTME.
  • To evaluate the progress of postoperative function following taTME.
  • To compare taTME with traditional laparoscopic total mesorectal excision (TME).

Main Methods:

  • Review of existing literature on taTME.
  • Analysis of short-term and long-term efficacy data.
  • Assessment of postoperative functional recovery metrics.

Main Results:

  • No significant differences were found in main short-term and long-term efficacy between taTME and traditional laparoscopic TME.
  • taTME demonstrated potential advantages in postoperative functional recovery.
  • Case studies post-learning curve indicated improved short-term and long-term efficacy for taTME.

Conclusions:

  • taTME is a viable alternative to laparoscopic TME with comparable efficacy.
  • taTME offers potential benefits for functional recovery and treating complex pelvic diseases.
  • Advancements in technology, like single-port robotics, will further enhance natural orifice transluminal endoscopic colorectal surgery.