ArticleTechniques in coloproctology2015
Transanal total mesorectal excision: a pure NOTES approach for selected patients.
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 5 papers.
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Who cites it
5 citing papers in PubMed.
- Direct target NOTES: prospective applications for next generation robotic platforms.Techniques in coloproctology · 2018Article
- Transanal total mesorectal excision with triangle rules: a road map to prevent injuries.Techniques in coloproctology · 2017Article
- [Minimally invasive approaches for transanal surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Review
- Transanal NOTES total mesorectal excision (TME) in patients with rectal cancer: Is anatomy better preserved?Techniques in coloproctology · 2016Article
- A mechanism for constructing a durable purse-string during transanal total mesorectal excision.Techniques in coloproctology · 2015Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe concept of natural orifice transluminal endoscopic surgery (NOTES) has stimulated the development of various "incisionless" procedures. One of the most popular is the transanal approach for rectal lesions. The aims of this study were to report how we standardized NOTES technique for transanal mesorectal excision without abdominal assistance, discuss the difficulties and surgical outcomes of this technique and report its feasibility in a small group of selected patients.
methodsThree consecutive female patients underwent transanal NOTES rectal resection without transabdominal laparoscopic assistance for rectal lesions. Functional results were assessed with the Fecal Incontinence Quality of Life scale and the Wexner score.
resultsThe technical steps are described in details and complemented with a video. All procedures were completed without transabdominal laparoscopic help. The mesorectal plane was entirely dissected without any disruption, and distal and circumferential margins were tumor-free. No major complications were observed. Functional results show a significant impairment after surgery with improvement at 6 months to levels near those of the preoperative period.
conclusionsThe performance and publication of NOTES procedures are subject to much discussion. Despite the small number of patients, this procedure appears feasible and can be accomplished maintaining fecal continence and respecting oncologic principles.
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