ArticleJournal of minimal access surgery2014
"Down-to-Up" transanal NOTES Total mesorectal excision for rectal cancer: Preliminary series of 9 patients.
Article in Journal of minimal access surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Clinical outcomes and case volume effect of transanal total mesorectal excision for rectal cancer: a systematic review.Techniques in coloproctology · 2016Pooled it
- Transanal total mesorectal excision for rectal cancer: a single center experience and systematic review of the literature.Langenbeck's archives of surgery · 2015Pooled it
- Transanal total mesorectal excision: a systematic review of the experimental and clinical evidence.Techniques in coloproctology · 2015Pooled it
- Recent Advances in Laparoscopy.Journal of clinical medicine · 2021Article
- Transgastric endoscopic gallbladder polypectomy and cholecystolithiasis: A case report.Experimental and therapeutic medicine · 2020Article
- Evolution of transanal total mesorectal excision for rectal cancer: From top to bottom.World journal of gastrointestinal surgery · 2018Review
- Lower Gastrointestinal Surgery: Robotic Surgery versus Laparoscopic Procedures.Visceral medicine · 2018Review
- Natural orifice specimen extraction in colorectal surgery: patient selection and perspectives.Clinical and experimental gastroenterology · 2018Review
- Evolution of surgery for rectal cancer: Transanal total mesorectal excision～new standard or fad?～.Journal of the anus, rectum and colon · 2018Review
- Long-term outcomes by a transanal approach to total mesorectal excision for rectal cancer.Surgical endoscopy · 2017Article
- Recent advances in the management of rectal cancer: No surgery, minimal surgery or minimally invasive surgery.World journal of gastrointestinal surgery · 2017Review
- Transanal Total Mesorectal Excision: A Novel Approach to Rectal Surgery.Clinics in colon and rectal surgery · 2017Review
- Article
- New device for transrectal trocar placement and rectal sealing for NOTES: a porcine in vivo and human cadaver study.Surgical endoscopy · 2016Article
- Transanal total mesorectal excision for rectal cancer.Surgery today · 2016Review
- Initial experience of transanal total mesorectal excision with rigid or flexible transanal platforms in cadavers.Surgical endoscopy · 2016Article
- [Hybrid TAMIS total mesorectal excision. A new perspective in treatment of distal rectal cancer - Technique and results].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Article
- Transanal Minimally Invasive Surgery: State of the Art.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Review
- Transanal total mesorectal excision: Towards standardization of technique.World journal of gastroenterology · 2015Review
- Low rectal cancer: Sphincter preserving techniques-selection of patients, techniques and outcomes.World journal of gastrointestinal oncology · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApplications for natural orifice translumenal endoscopic surgery (NOTES) to access the abdominal cavity have increased in recent years. Despite potential advantages of transanal and transcolonic NOTES for colorectal pathology, it has not been widely applied in the clinical setting. This study describes a series of nine patients for whom we performed transanal retrograde ("Down-to-Up") total mesorectal excision for rectal cancer. MATERIALS AND
methodsUnder IRB approval, informed consent was obtained from each patient with rectal adenocarcinoma. Rectosigmoidectomy with total mesorectal excision was performed using low rectal translumenal access to the mesorectal fascia and subsequent dissection in a retrograde fashion. This was achieved using either a single port device or flexible colonoscope with endoscopic instrumentation and laparoscopic assistance. This was followed by transanal extraction of the specimen and hand-sewn anastomosis.
resultsMean operative time was 311 min. Mean hospital stay was 7.56 days. Complications occurred in two patients, and consisted of one anastomotic leakage with reoperation and one intraoperative conversion to open surgery because of impossibility to dissect the specimen. TME specimen integrity was adequate in six patients.
conclusionThis series suggests that a retrograde mesorectal dissection via a NOTES technique is feasible in patients with rectal adenocarcinoma. This technique may act as a complimentary part of operative treatment for rectal cancer alongside other minimally invasive strategies. Long-term follow up will be needed to assess oncological results.
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