Clin Colon Rectal Surg 2020; 33(03): 173-179
DOI: 10.1055/s-0039-3402780
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Tips and Tricks

Matthew Albert
1   Center for Colon and Rectal Surgery, Orlando, Florida
,
Lawrence Lee
2   McGill University Health Centre, Montreal, Canada
› Author Affiliations
Further Information

Publication History

Publication Date:
28 April 2020 (online)

Abstract

The role of transanal total mesorectal excision (taTME) in minimally invasive proctectomy, especially rectal cancer surgery, is increasing. There has been exponential growth in uptake from the initial in vivo case in 2010 to the present day. Early adopters of taTME are well within the mature portions of their learning curve, but there are a significant number of novice taTME surgeons. We have overviewed the critical aspects of patient selection, operating room set-up, and necessary equipment. In particular, we recommend that a one-team approach is used for the early cases, and ideally with an experienced proctor. The important technical pearls that will aid the novice taTME surgeon were also described.

 
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