Evidence map›Paper›PMID 27629696›Full record

ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2017

[Training course transanal total mesorectal excision (TaTME) : Concept and establishment of a training course for safe application].

F Aigner, M Biebl, A Fürst, T Jöns, J Pratschke, W Kneist

Abstract read
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In one paragraph

Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. The learning curve of transanal total mesorectal excision for rectal cancer is associated with local recurrence: results from a multicentre external audit.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021
    Article
  2. Review
  3. Review
  4. [Transanal total mesorectal excision-Indications, technique and results].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020
    Review
  5. Learning Transanal Total Mesorectal Excision.Clinics in colon and rectal surgery · 2020
    Review
  6. taTME: boom or bust?Gastroenterology report · 2020
    Article
  7. Article
  8. Recent updates in the surgical treatment of colorectal cancer.Annals of gastroenterological surgery · 2018
    Review
  9. [Transanal total mesorectal excision (TaTME) for primary rectal cancer : Video article].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

F AignerChirurgische Klinik, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland. felix.aigner@charite.de.
M BieblChirurgische Klinik, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland.
A FürstKlinik für Allgemein-, Viszeral-, Thoraxchirurgie, Adipositasmedizin, Caritas-Krankenhaus St. Josef, Landshuterstr. 65, 93053, Regensburg, Deutschland.
T JönsInstitut für Integrative Neuroanatomie, Charité Universitätsmedizin Berlin, Campus Charité Mitte, Philippstraße 12, 10117, Berlin, Deutschland.
J PratschkeChirurgische Klinik, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland.
W KneistKlinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years the video endoscopy-assisted transanal approach to total mesorectal excision (TME) combined with the conventional laparoscopic technique was developed as an alternative indication for treatment of low rectal cancer (TaTME).

objectiveThe concept and results of the first German TaTME hands-on cadaver course with subsequent live surgery are presented. MATERIAL AND

methodsThe 2‑day training course was structured into an anatomical and a clinical surgery part. The participants could learn from basics to live surgery and shared their experiences during presentations about currently available data, rationale and technique of TaTME with special emphasis on technical failures and pitfalls. The supervised simulator training and TaTME exercises at three cadaver work stations were proctored by experienced surgeons. On day 2 the participants observed two cases of TaTME at the moderated live surgery session.

resultsThe step-up learning curve for the transanal approach could be clearly observed in each team from warm-up to hands-on training sessions. In the practical session the participants could train the milestones of the transanal approach on cadavers, including the pitfalls. Finally, the participants observed live surgery on two patients with low rectal tumors on day 2 of the course.

conclusionA step-up training course on cadavers is indispensable regarding implementation of techniques, such as TaTME into clinical practice. Coordinated clinical guest demonstrations provide translation of theoretical basic principles and practical skills from the cadaver course to real patient treatment. Participants should be encouraged to report their cases to registered trials or registries.

Indexed as

Education, Medical, GraduateAdultCadaverCombined Modality TherapyCurriculumFemaleGermanyHumansLaparoscopyMaleMiddle AgedProctoscopyRectal NeoplasmsRectumSimulation TrainingSuture TechniquesAnatomyGuest relationSimulator trainingTotal mesorectal excisionTransanal

Identifiers

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Registered trials

None linked

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.