ArticleSurgical endoscopy2016
True NOTES TME resection with splenic flexure release, high ligation of IMA, and side-to-end hand-sewn coloanal anastomosis.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Clinical outcomes and case volume effect of transanal total mesorectal excision for rectal cancer: a systematic review.Techniques in coloproctology · 2016Pooled it
- Evaluation of the learning curve for conformal sphincter preservation operation in the treatment of ultralow rectal cancer.World journal of surgical oncology · 2022Article
- Robotic Transanal Surgery for Rectal Cancer.Clinics in colon and rectal surgery · 2021Review
- SP rTaTME: initial clinical experience with single-port robotic transanal total mesorectal excision (SP rTaTME).Techniques in coloproctology · 2021Article
- Transanal total mesorectal excision (TaTME) using flexible endoscope with laparoscopic assistance: a pilot study in porcine models.Updates in surgery · 2020Article
- A novel technique of securing a clear surgical space using a silicone disc during transanal total mesorectal excision.Techniques in coloproctology · 2020Article
- Transanal Surgery: A History of taTME Ancestry.Clinics in colon and rectal surgery · 2020Review
- Transanal TME: new standard or fad?Journal of the anus, rectum and colon · 2019Review
- Direct target NOTES: prospective applications for next generation robotic platforms.Techniques in coloproctology · 2018Article
- Virtual reality simulation for surgery: from video games to transanal total mesorectal excision.Techniques in coloproctology · 2018Article
- Long-term outcomes by a transanal approach to total mesorectal excision for rectal cancer.Surgical endoscopy · 2017Article
- Robotic transanal surgery (RTAS) with utilization of a next-generation single-port system: a cadaveric feasibility study.Techniques in coloproctology · 2017Article
- From TATA to NOTES, how taTME fits into the evolutionary surgical tree.Techniques in coloproctology · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNatural orifice transluminal endoscopic surgery (NOTES) represents the ultimate expression of minimally invasive surgery. We have developed and present here an initial feasibility and safety study of transanal total mesorectal excision (TME) with splenic flexure release, high ligation of the IMA and IMV, and side-to-end coloanal anastomosis with temporary diverting ileostomy for rectal cancer.
methodsA program of full NOTES TME resection with release of the splenic flexure, high ligation of the IMA/IMV, with side-to-end coloanal anastomosis was performed transanally from December 2013 to July 2014. Demographics, preoperative, perioperative, and postoperative data were prospectively obtained. Operative components were broken into TME, colonic mobilization, splenic flexure release, IMA/IMV transection, transanal extraction of specimen, and coloanal anastomosis for analysis of performance completion.
resultsThere were 3 women and 1 man on whom we operated. Mean age was 56 (46-65). Mean BMI was 26 (23.8-30.2). The operation was completed entirely transanally in 2 patients. Transanal component completion of the operation was as follows: TME in 3/4; colonic mobilization in 4/4; splenic flexure release in 3/4; IMA/IMV transection in 3/4; transanal specimen extraction in 4/4; coloanal anastomosis in 4/4. Abdominal time for completion of component parts was: splenic flexure release 4:53 (min:s), IMA/IMV 19:43, completion of TME 13:41. Mean EBL was 194 cc (25-500). Aside from stoma site, there were no abdominal incisions. There were no mortalities. Mesorectum was intact in all 4 patients and with negative circumferential and distal margins.
conclusionThis experience supports the feasibility and safety of a true NOTES TME. The critical anatomic views demonstrated on video affirm the potential of this approach for distal rectal cancer. Colorectal surgery represents the most logical application for NOTES. While highly promising, a great deal of work remains to develop the technique and applicability of NOTES colorectal surgery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.