Clinics in Colon and Rectal Surgery 2016; 29(01): 065-070
DOI: 10.1055/s-0035-1570395
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Transanal Approach to Rectal Polyps and Cancer

Vinay Rai
1  Colon and Rectum Surgery, University of New Mexico, New Mexico
,
Nitin Mishra
2  Colon and Rectum Surgery, Mayo Clinic College of Medicine, Arizona
› Author Affiliations
Further Information

Publication History

Publication Date:
16 February 2016 (online)

Abstract

A transanal approach to rectal polyp and cancer excision is often an appropriate alternative to conventional rectal resection, and has a lower associated morbidity. There has been a steady evolution in the techniques of transanal surgery over the past 30 years. It started with traditional transanal excision and was revolutionized by introduction of transanal endoscopic microsurgery in early 1980s. Introduction of transanal minimally invasive surgery made it more accessible to surgeons around the world. Now robotic platforms are being tried in certain institutions. Concerns have been raised about recurrence rates of cancers with transanal approach and success of subsequent salvage operations.