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Surgical Endoscopy
Erschienen in: Surgical Endoscopy 5/2019

23.01.2019 | Review Article

The current state of the transanal approach to the ileal pouch-anal anastomosis

verfasst von: F. Borja de Lacy, Deborah Susan Keller, Beatriz Martin-Perez, Sameh Hany Emile, Manish Chand, Antonino Spinelli, Antonio M. Lacy

Erschienen in: Surgical Endoscopy | Ausgabe 5/2019

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Abstract

Background

The transanal approach to pelvic dissection has gained considerable traction and utilization continues to expand, fueled by the transanal total mesorectal excision (TaTME) for rectal cancer. The same principles and benefits of transanal pelvic dissection may apply to the transanal restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA)-the TaPouch procedure. Our goal was to review the literature to date on the development and current state of the TaPouch.

Materials and methods

We performed a PubMed database search for original articles on transanal pelvic dissections, IPAA, and the TaPouch procedure, with a manual search from relevant citations in the reference list. The main outcomes were the technical aspects of the TaPouch, clinical and functional outcomes, and potential advantages, drawbacks, and future direction for the procedure.

Results

The conduct of the procedure has been defined, with the safety and feasibility demonstrated in small series. The reported rates of conversion and anastomotic leakage are low. There are no randomized trials or large-scale comparative studies available for comparative effectiveness compared to the traditional IPAA.

Conclusions

The transanal approach to ileal pouch-anal anastomosis is an exciting adaption of the transanal total mesorectal excision for refining the technical steps of a complex operation. Additional experience is needed for comparative outcomes and defining the ideal training and implementation pathways.
Literatur
1.
Fazio VW, Ziv Y, Church JM, Oakley JR, Lavery IC, Milsom JW, Schroeder TK (1995) Ileal pouch-anal anastomoses complications and function in 1005 patients. Ann Surg 222:120–127CrossRefPubMedPubMedCentral
2.
Kiely JM, Fazio VW, Remzi FH, Shen B, Kiran RP (2012) Pelvic sepsis after IPAA adversely affects function of the pouch and quality of life. Dis Colon Rectum 55:387–392CrossRefPubMed
3.
Baek SJ, Dozois EJ, Mathis KL, Lightner AL, Boostrom SY, Cima RR, Pemberton JH, Larson DW (2016) Safety, feasibility, and short-term outcomes in 588 patients undergoing minimally invasive ileal pouch-anal anastomosis: a single-institution experience. Tech Coloproctol 20(6):369–374CrossRefPubMed
4.
Lee-Kong S, Kiran RP (2016) Ongoing challenges and controversies in ulcerative colitis surgery. Expert Rev Gastroenterol Hepatol 10(2):187–191CrossRefPubMed
5.
Bartels SA, Gardenbroek TJ, Ubbink DT, Buskens CJ, Tanis PJ, Bemelman WA (2013) Systematic review and metaanalysis of laparoscopic versus open colectomy with end ileostomy for nontoxic colitis. Br J Surg 100:726–733CrossRefPubMed
6.
Fajardo AD, Dharmarajan S, George V, Hunt SR, Birnbaum EH, Fleshman JW, Mutch MG (2010) Laparoscopic versus open 2-stage ileal pouch: laparoscopic approach allows for faster restoration of intestinal continuity. J Am Coll Surg 211:377–383CrossRefPubMed
7.
Oresland T, Bemelman WA, Sampietro GM, Spinelly A, Windsor A, Ferrante M, Marteau P, Zmora O, Kotze PG, Espin-Basany E, Tiret E, Sica G, Panis Y, Faerden AE, Biancone L, Angriman I, Serclova Z, de Buck van Overstraeten A, Gionchetti P, Stassen L, Warusavitarne J, Adamina M, Dignass A, Eliakim R, Magro F, D’Hoore A, European Crohn’s and Colitis Organisation (ECCO) (2015) European evidence based consensus on surgery for ulcerative colitis. J Crohns Colitis 9:4–25CrossRefPubMed
8.
Row D, Weiser MR (2010) An update on laparoscopic resection for rectal cancer. Cancer Control 17(1):16–24CrossRefPubMed
9.
Young M, Pigazzi A (2014) Total mesorectal excision: open, laparoscopic or robotic. Recent Results Cancer Res 203:47–55CrossRefPubMed
10.
Sylla P, Rattner DW, Delgado S, Lacy AM (2010) NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 24:1205–1210CrossRefPubMed
11.
Penna M, Hompes R, Arnold S, Wynn G, Austin R, Warusavitarne J, Moran B, Hanna GB, Mortensen NJ, Tekkis PP, TaTME Registry Collaborative (2017) Transanal total mesorectal excision: international registry results of the first 720 cases. Ann Surg 266:111–117CrossRefPubMed
12.
Ma B, Gao P, Song Y, Zhang C, Zhang C, Wang L, Liu H, Wang Z (2016) Transanal total mesorectal excision (taTME) for rectal cancer: a systematic review and meta-analysis of oncological and perioperative outcomes compared with laparoscopic total mesorectal excision. BMC Cancer 16:380CrossRefPubMedPubMedCentral
13.
Arroyave MC, DeLacy FB, Lacy AM (2017) Transanal total mesorectal excision (TaTME) for rectal cancer: step by step description of the surgical technique for a two-teams approach. Eur J Surg Oncol 43:502–505CrossRefPubMed
14.
15.
Lovegrove RE, Heriot AG, Constantinides V, Tilney HS, Darzi AW, Fazio VW, Nicholls RJ, Tekkis PP (2007) Meta-analysis of short-term and long-term outcomes of J, W and S ileal reservoirs for restorative proctocolectomy. Colorectal Dis 9(4):310–320CrossRefPubMed
16.
Lovegrove RE, Constantinides VA, Heriot AG, Athanasiou T, Darzi A, Remzi FH, Nicholls RJ, Fazio VW, Tekkis PP (2006) A comparison of hand-sewn versus stapled ileal pouch anal anastomosis (IPAA) following proctocolectomy: a meta-analysis of 4183 patients. Ann Surg 244:18–26CrossRefPubMedPubMedCentral
17.
de Buck van Overstraeten A, Mark-Christensen A, Wasmann KA, Bastiaenen VP, Buskens CJ, Wolthuis AM, Vanbrabant K, D’Hoore A, Bemelman WA, Tottrup A, Tanis PJ (2017) Transanal versus transabdominal minimally invasive (completion) proctectomy with ileal pouch-anal anastomosis in ulcerative colitis: a comparative study. Ann Surg 266(5):878–883CrossRef
18.
Warusavitarne J, Gustavo Kotze P (2017) Double single-port transanal pouch surgery: a novel technique for rectal excision and ileo-anal pouch anastomosis for ulcerative colitis. J Coloproctol (Rio J) 37(4):328–331CrossRef
19.
Coffey JC, Dillon MF, O’Driscoll JS, Faul E (2016) Transanal total mesocolic excision (taTME) as part of ileoanal pouch formation in ulcerative colitis—first report of a case. Int J Colorectal Dis 31:735–736CrossRefPubMed
20.
Leo CA, Samaranayake S, Perry-Woodford ZL, Vitone L, Faiz O, Hodgkinson JD, Shaikh I, Warusavitarne J (2016) Initial experience of restorative proctocolectomy for ulcerative colitis by transanal total mesorectal rectal excision and single-incision abdominal laparoscopic surgery. Colorectal Dis 18(12):1162–1166CrossRefPubMed
21.
de Buck van Overstraeten A, Wolthuis AM, D’Hoore A (2016) Transanal completion proctectomy after total colectomy and ileal pouch-anal anastomosis for ulcerative colitis: a modified single stapled technique. Colorectal Dis 18(4):O141–O144CrossRef
22.
Carvello M, David G, Sacchi M, Di Candido F, Spinelli A (2018) Restorative proctocolectomy and ileal pouch-anal anastomosis for right-sided colonic adenocarcinoma in familial adenomatous polyposis: an abdominal laparoscopic approach combined with transanal total mesorectal excision—a video vignette. Colorectal Dis 20(4):355–356CrossRefPubMed
23.
24.
Fazio VW, Kiran RP, Remzi FH, Coffey JC, Heneghan HM, Kirat HT, Manilich E, Shen B, Martin ST (2013) Ileal pouch anal anastomosis: analysis of outcome and quality of life in 3707 patients. Ann Surg 257:679–685CrossRefPubMed
25.
Tasende MM, Delgado S, Jimenez M, Del Gobbo GD, Fernández-Hevia M, DeLacy B, Balust J, Lacy AM (2015) Minimal invasive surgery: NOSE and NOTES in ulcerative colitis. Surg Endosc 29(11):3313–3318CrossRefPubMed
26.
Bartels SA, Gardenbroek TJ, Aarts M, Ponsioen CY, Tanis PJ, Buskens CJ, Bemelman WA (2015) Short-term morbidity and quality of life from a randomized clinical trial of close rectal dissection and total mesorectal excision in ileal pouch-anal anastomosis. Br J Surg 102(3):281–287CrossRefPubMed
27.
Bracey E, Knol J, Buchs N, Jonez O, Cunningham C, Guy R, Mortensen N, Hompes R (2015) Technique for a stapled anastomosis following transanal total mesorectal excision for rectal cancer. Colorectal Dis 17:O208–O212CrossRefPubMed
28.
Vahdad MR, Rahmanian E, Moslemi S, Najafi SM, Foroutan HR (2015) Totally transanal laparo-endoscopic single-site proctoColectomy-Ileoanal J-Pouch (TLPC-J): an experimental study of a novel approach. Iran J Med Sci 40(5):425–429
29.
Vahdad MR, Cernaianu G, Semaan A, Klein T, Faran S, Zemon H, Boemers T, Foroutan HR (2016) An experimental study in six fresh human cadavers using a novel approach to avoid abdominal wall incisions in total colectomy: totally transanal laparoendoscopic single-site pull-through colectomy with J-pouch creation. Surg Endosc 30(7):3107–3113CrossRefPubMed
30.
Ambe PC, Zirngibl H, Möslein G (2017) Initial experience with taTME in patients undergoing laparoscopic restorative proctocolectomy for familial adenomatous polyposis. Tech Coloproctol 21(12):971–974CrossRefPubMed
31.
Chen CC, Lai YL, Jiang JK, Chu CH, Huang IP, Chen WS, Cheng AY, Yang SH (2016) Transanal total mesorectal excision versus laparoscopic surgery for rectal cancer receiving neoadjuvant chemoradiation: a matched case-control study. Ann Surg Oncol 23:1169–1176CrossRefPubMed
32.
Kneist W, Hanke L, Kauf DW, Lang H (2016) Surgeons’ assessment of internal anal sphincter nerve supply during TaTME—inbetween expectations and reality. Minim Invasive Ther 25:241–246CrossRef
33.
34.
Roumen RM, Rahusen FT, Wijnen MH, Croiset van Uchelen FA (2000) “Dog ear” formation after double-stapled low anterior resection as a risk factor for anastomotic disruption. Dis Colon Rectum 43:522–525CrossRefPubMed
35.
Velthuis S, Veltcamp Helbach M, Tuynman JB, Le TN, Bonjer HJ, Sietses C (2015) Intra-abdominal bacterial contamination in TAMIS total mesorectal excision for rectal carcinoma: a prospective study. Surg Endosc 29:3319–3323CrossRefPubMed
36.
Muratore A, Mellano A, Marsanic P, De Simone M (2015) Transanal total mesorectal excision (taTME) for cancer located in the lower rectum: short- and mid-term results. Eur J Surg Oncol 41:478–483CrossRefPubMed
37.
Burke JP, Martin-Perez B, Khan A, Nassif G, de Beche-Adams T, Larach SW, Albert MR, Atallah S (2016) Transanal total mesorectal excision for rectal cancer: early outcomes in 50 consecutive patients. Colorectal Dis 18:570–577CrossRefPubMed
38.
Buchs NC, Nicholson GA, Ris F, Mortensen NJ, Hompes R (2015) Transanal total mesorectal excision: a valid option for rectal cancer? World J Gastroenterol 21:11700–11708CrossRefPubMedPubMedCentral
39.
Allaix ME, Rebecchi F, Giaccone C et al (2011) Long-term functional results and quality of life after transanal endoscopic microsurgery. Br J Surg 98:1635–1643CrossRefPubMed
40.
Koedam TWA, van Ramshorst GH, Deijen CL et al (2017) Transanal total mesorectal excision (TaTME) for rectal cancer: effects on patient-reported quality of life and functional outcome. Tech Coloproctol 21(1):25–33CrossRefPubMedPubMedCentral
41.
Atallah S, Hodges A, Larach SW (2018) Direct target NOTES: prospective applications for next generation robotic platforms. Tech Coloproctol 22(5):363–371CrossRefPubMed
42.
Keller DS, Joshi HM, Rodriguez-Justo M, Walsh D, Coffey JC, Chand M (2017) Using fluorescence lymphangiography to define the ileocolic mesentery: proof of concept for the watershed area using real-time imaging. Tech Coloproctol 21:757–760CrossRefPubMed
43.
Jafari MD, Wexner SD, Martz JE, McLemore EC, Margolin DA, Sherwinter DA et al (2015) Perfusion assessment in laparoscopic left-sided/anterior resection (PILLAR II): a multi-institutional study. J Am Coll Surg 220:82–92.e1CrossRefPubMed
44.
Armstrong G, Croft J, Corrigan N, Brown JM, Goh V, Quirke P et al (2018) IntAct: intra-operative fluorescence angiography to prevent anastomotic leak in rectal cancer surgery: a randomized controlled trial. Colorectal Dis 20:O226–O234CrossRefPubMedPubMedCentral
45.
Adamina M, Buchs NC, Penna M, Hompes R, St.Gallen CCEG (2018) St. Gallen consensus on safe implementation of transanal total mesorectal excision. Surg Endosc 32:1091–1103CrossRefPubMed
46.
Francis N, Penna M, Mackenzie H, Carter F, Hompes R, International, TaTME Educational Collaborative Group (2017) Consensus on structured training curriculum for transanal total mesorectal excision (TaTME). Surg Endosc 31:2711–2719CrossRefPubMed
47.
48.
Penna M, Hompes R, Mackenzie H, Carter F, Francis NK (2016) First international training and assessment consensus workshop on transanal total mesorectal excision (taTME). Tech Coloproctol 06:20:343–352CrossRef
Metadaten
Titel
The current state of the transanal approach to the ileal pouch-anal anastomosis
verfasst von
F. Borja de Lacy
Deborah Susan Keller
Beatriz Martin-Perez
Sameh Hany Emile
Manish Chand
Antonino Spinelli
Antonio M. Lacy
Publikationsdatum
23.01.2019
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 5/2019
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-019-06674-5

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