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Review
. 2018 Sep;22(9):649-655.
doi: 10.1007/s10151-018-1844-8. Epub 2018 Sep 25.

Transanal total mesorectal excision for rectal cancer: state of the art

David A Westwood  1 , Tahleesa J Cuda  2 , A E Ricardo Hamilton  2 , David Clark  2   3 , Andrew R L Stevenson  2   3
Affiliations
Review

Transanal total mesorectal excision for rectal cancer: state of the art

David A Westwood et al. Tech Coloproctol. 2018 Sep.

Abstract

Achieving a high-quality total mesorectal excision (TME) resection specimen is a central tenet of curative rectal cancer management. However, operating at the caudal extremity of the pelvis is inherently challenging and a number of patient- and tumour-related factors may increase the risk of obtaining a poor TME specimen and positive resection margins. Transanal TME (TaTME) is an advanced surgical technique developed to overcome the limitations in pelvic exposure and instrumentation of transabdominal surgery. This up-to-date narrative review describes the evolution of TME surgery, the indications for TaTME, current published outcomes, its limitations and future developments.

Keywords: Cancer; Rectal; Surgery; TME; Transanal.

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