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Clin Colon Rectal Surg 2017; 30(02): 120-129
DOI: 10.1055/s-0036-1597314
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Transanal Total Mesorectal Excision: A Novel Approach to Rectal Surgery

Pasithorn A. Suwanabol
1   Division of Colorectal Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan
,
Justin A. Maykel
2   Division of Colorectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts
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Publikationsdatum:
04. April 2017 (online)

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Abstract

Less invasive approaches continue to be explored and refined for diseases of the colon and rectum. The current gold standard for the surgical treatment of rectal cancer, total mesorectal excision (TME), is a technically precise yet demanding procedure with outcomes measured by both oncologic and functional outcomes (including bowel, urinary, and sexual). To date, the minimally invasive approach to rectal cancer has not yet been perfected, leaving ample opportunity for rectal surgeons to innovate. Transanal TME has recently emerged as a safe and effective technique for both benign and malignant diseases of the rectum. While widespread acceptance of this surgical approach remains tempered at this time due to lack of long-term oncologic outcome data, short-term outcomes are promising and there is great excitement surrounding the promise of this technique.

Keywords

total mesorectal excision - transanal - rectal cancer