ArticleTechniques in coloproctology2015
Transanal endoscopic total mesorectal excision: technical aspects of approaching the mesorectal plane from below--a preliminary report.
Article in Techniques in coloproctology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Robotic Transanal minimally invasive surgery for rectal neoplasms: A systematic review of outcomes and innovations.Langenbeck's archives of surgery · 2026Pooled it
- Short- and long-term outcomes of transanal versus laparoscopic total mesorectal excision for mid-to-low rectal cancer: a meta-analysis.Surgical endoscopy · 2019Pooled 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
- Mesentery in Transanal TME.Clinics in colon and rectal surgery · 2022Review
- Transanal total mesorectal excision: the Slagelse experience 2013-2019.Surgical endoscopy · 2021Article
- Total Mesorectal Excision Technique-Past, Present, and Future.Clinics in colon and rectal surgery · 2020Review
- Transanal Total Mesorectal Excision: Description of the Technique.Clinics in colon and rectal surgery · 2020Review
- Article
- Long-term outcomes by a transanal approach to total mesorectal excision for rectal cancer.Surgical endoscopy · 2017Article
- Transanal Total Mesorectal Excision: Why, When, and How.Clinics in colon and rectal surgery · 2017Review
- Operative vectors, anatomic distortion, fluid dynamics and the inherent effects of pneumatic insufflation encountered during transanal total mesorectal excision.Techniques in coloproctology · 2017Article
- Transanal Total Mesorectal Excision: A Novel Approach to Rectal Surgery.Clinics in colon and rectal surgery · 2017Review
- Transanal total mesorectal excision: dissection tips using 'O's and 'triangles'.Techniques in coloproctology · 2016Article
- Feasibility of transanal endoscopic total mesorectal excision for rectal cancer: results of a pilot study.Annals of surgical treatment and research · 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
- Short-term outcomes after transanal and laparoscopic total mesorectal excision for rectal cancer.Techniques in coloproctology · 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
- Four anastomotic techniques following transanal total mesorectal excision (TaTME).Techniques in coloproctology · 2016Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic total mesorectal excision (TME) for low rectal cancer can be technically challenging. This report describes our initial experience with a hybrid laparoscopic and transanal endoscopic technique for TME in low rectal cancer.
methodsBetween December 2012 and October 2013, we identified patients with rectal cancer < 5 cm from the anorectal junction (ARJ) who underwent laparoscopic-assisted TME with a transanal minimally invasive surgery (TAMIS) technique. A standardized stepwise approach was used in all patients. Resection specimens were examined for completeness and measurement of margins. Preoperative magnetic resonance imaging (MRI) characteristics and short-term postoperative outcomes were examined. All values are mean ± standard deviation.
resultsTen patients (8 males; median age: 60.5 (range 36-70) years) were included. On initial MRI, all tumors were T2 or T3, mean tumor height from the ARJ was 28.9 ± 12.2 mm, mean circumferential resection margin was 5.3 ± 3.1 mm , and the mean angle between the anal canal and the levator ani was 83.9° ± 9.7°. All patients had had preoperative chemoradiotherapy, TME via TAMIS, and distal anastomosis. There were no intraoperative complications, anastomotic leaks, or 30-day mortality. The pathologic quality of all mesorectal specimens was excellent. The distal resection margin was 19.4 ± 10.4 mm, the mean circumferential resection margin was 13.8 ± 5.1 mm, and the median lymph node harvest was 10.5 (range 5-15) nodes.
conclusionsA combined laparoscopic and transanal approach can achieve a safe and oncologically complete TME dissection for low rectal tumors. This approach may improve clinical outcomes in these technically difficult cases, but larger prospective studies are needed.
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