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Techniques in Coloproctology
Erschienen in: Techniques in Coloproctology 9/2018

25.09.2018 | Challenges in Coloproctology

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

verfasst von: David A. Westwood, Tahleesa J. Cuda, A. E. Ricardo Hamilton, David Clark, Andrew R. L. Stevenson

Erschienen in: Techniques in Coloproctology | Ausgabe 9/2018

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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.
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Metadaten
Titel
Transanal total mesorectal excision for rectal cancer: state of the art
verfasst von
David A. Westwood
Tahleesa J. Cuda
A. E. Ricardo Hamilton
David Clark
Andrew R. L. Stevenson
Publikationsdatum
25.09.2018
Verlag
Springer International Publishing
Erschienen in
Techniques in Coloproctology / Ausgabe 9/2018
Print ISSN: 1123-6337
Elektronische ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-018-1844-8

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