Transanal Total Mesorectal Excision: Why, When, and How

被引：40

作者：

Penna, Marta ^{[1
]}

Cunningham, Christopher ^{[1
]}

Hompes, Roel ^{[2
]}

机构：

[1] Oxford Univ Hosp, Churchill Hosp, Dept Colorectal Surg, Oxford, England

[2] Acad Med Ctr, Dept Surg, Surg Oncol & Gastrointestinal Surg, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

来源：

CLINICS IN COLON AND RECTAL SURGERY | 2017年 / 30卷 / 05期

关键词：

transanal; bottom-up; total mesorectal excision; rectal cancer; TRANSLUMENAL ENDOSCOPIC SURGERY; LAPAROSCOPIC-ASSISTED RESECTION; RANDOMIZED CLINICAL-TRIAL; RECTAL-CANCER; STEREOTACTIC NAVIGATION; RECTOSIGMOID RESECTION; PATHOLOGICAL OUTCOMES; TME; MICROSURGERY; EXPERIENCE;

D O I：

10.1055/s-0037-1606111

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Transanal total mesorectal excision (taTME) has evolved over the past decade fueled by advances in minimally invasive surgery. The technique aims to overcome the constraints posed by a narrow rigid pelvis and poor TME visualization that are encountered during "top-down" rectal surgery. A more accurate pelvic dissection should subsequently result in safer oncological resections and better preservation of pelvic autonomic nerves. taTME is an advanced complex technique that requires dedicated training and experience in TME surgery. Initial results from small cohorts are promising and confirmation by randomized controlled trials is eagerly awaited.

引用

页码：339 / 345

页数：7

共 38 条

[1] [Anonymous], 2007, NUTR PHYS ACT PREV C
[2] Robotic-assisted transanal surgery for total mesorectal excision (RATS-TME): a description of a novel surgical approach with video demonstration
Atallah, S.
Nassif, G.
Polavarapu, H.
deBeche-Adams, T.
Ouyang, J.
Albert, M.
Larach, S.
[J]. TECHNIQUES IN COLOPROCTOLOGY, 2013, 17 (04) : 441 - 447
[3] Stereotactic navigation for TAMIS-TME: opening the gateway to frameless, image-guided abdominal and pelvic surgery
Atallah, Sam
Nassif, George
Larach, Sergio
[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (01): : 207 - 211
[4] Transanal minimally invasive surgery: a giant leap forward
Atallah, Sam
Albert, Matthew
Larach, Sergio
[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2010, 24 (09): : 2200 - 2205
[5] Technique for a stapled anastomosis following transanal total mesorectal excision for rectal cancer
Bracey, E.
Knol, J.
Buchs, N.
Jones, O.
Cunningham, C.
Guy, R.
Mortensen, N.
Hompes, R.
[J]. COLORECTAL DISEASE, 2015, 17 (10) : O208 - O212
[6] Laparoscopic versus open total mesorectal excision for rectal cancer
Breukink, S.
Pierie, J.
Wiggers, T.
[J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (04):
[7] Stereotactic navigation and augmented reality for transanal total mesorectal excision?
Buchs, N. C.
Hompes, R.
[J]. COLORECTAL DISEASE, 2015, 17 (09) : 825 - 827
[8] BUESS G, 1983, LEBER MAGEN DARM, V13, P73
[9] COLOR III: a multicentre randomised clinical trial comparing transanal TME versus laparoscopic TME for mid and low rectal cancer
Deijen, Charlotte L.
Velthuis, Simone
Tsai, Alice
Mavroveli, Stella
de Lange-de Klerk, Elly S. M.
Sietses, Colin
Tuynman, Jurriaan B.
Lacy, Antonio M.
Hanna, George B.
Bonjer, H. Jaap
[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2016, 30 (08): : 3210 - 3215
[10] CT/MRI pelvimetry as a useful tool when selecting patients with rectal cancer for transanal total mesorectal excision
Ferko, Alexander
Maly, Ondrej
Oerhalmi, Julius
Dolejs, Josef
[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2016, 30 (03): : 1164 - 1171

← 1 2 3 4 →