Transanal rectal resection: an initial experience of 20 cases

Abstract

TaTME was safe in this small series of patients. It is especially attractive in patients with a narrow and irradiated pelvis and a tumour in the lower third of the rectum. TaTME is technically demanding, but the good outcomes should prompt randomized studies and prospective registration of all taTME cases in an international registry.

Laparo-endoscopic Transanal Total Mesorectal Excision (TATME): evidence of a novel technique

“…Anastomotic leak or fistula (24,35,37,(39)(40)(41)42), urinary retention/dysfunction (27,30,35,37,42), intestinal obstruction (26,32,37,38,40,42) and sepsis from a pelvic origin (11,26,29,30,32,35,39,41) were the most frequently reported postoperative complications.…”

“…These patients were enrolled in 33 publications according to three types of clinical studies: case reports (17,(19)(20)(21)(22), clinical case series (retrospective and prospective) (11,(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)42), and comparative studies (43)(44)(45)(46)(47)(48)(49).…”

“…Regarding case reports and case series, TATME was performed via an exclusive transanal approach in 13 (2.5%) patients (20,21,30,32,41), and using a conventional (three cases) (29) or laparoscopic approach in 496 patients (96.8%). Multi-port laparoscopy was used in the majority of TATME cases.…”

“…Multi-port laparoscopy was used in the majority of TATME cases. Single-port (11,19,24,32,35,40), mini-laparoscopy (17,25,28) and a robotic transabdominal access (29,41) were also utilized in some studies. For single-port laparoscopy, the port was positioned in the planned ileostomy site.…”

“…The quality of TME was described as intact in 58 cases (11,17,19,21,24,32,36,41), as complete or nearly complete in 360 cases (19,20,27,29,35,37,39,40,42), and as good in 36 (26,38) patients.…”