Erschienen in:
01.06.2016 | From the Education, Training and Simulation Editor
First international training and assessment consensus workshop on transanal total mesorectal excision (taTME)
verfasst von:
M. Penna, R. Hompes, H. Mackenzie, F. Carter, N. K. Francis
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 6/2016
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Excerpt
The interest and adoption of transanal total mesorectal excision (taTME) is growing rapidly worldwide. This new technique has arisen thanks to advances in minimally invasive surgery and transanal approaches. The ultimate goal of the procedure is to improve clinical, oncological and functional outcomes of rectal excision by obtaining a meticulous TME resection in cancer cases, whilst avoiding injury to surrounding pelvic structures. Transanal TME is a complex procedure and demands excellent, prerequisite surgical skills in order to complete the operation in a safe and efficient manner. The “bottom-up” approach also reveals a completely new viewpoint of the pelvic anatomy for most surgeons. The combination of complexity and unfamiliarity has triggered the occurrence of adverse events, such as urethral injuries [
1,
2], which were rarely encountered previously in conventional laparoscopic or open resections. Uptake of a new operation is also associated with a proficiency-gain curve during which there is increased morbidity and mortality [
3]. These adverse outcomes during the introduction and dissemination of taTME must be honestly reported, properly analysed and addressed accordingly. Only then can we avoid a “dip” in the adoption curve we saw early on in the laparoscopic experience due to port site metastasis. …
