Erschienen in:
24.10.2017 | Video Forum
Transanal total mesorectal excision with triangle rules: a road map to prevent injuries
verfasst von:
P. A. Silva, A. Goulart, M. Sousa, H. Rios, S. Atallah, P. Leão
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 10/2017
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Excerpt
Transanal total mesorectal excision (TaTME) is presented as a promising new surgical technique for the approach to the distal rectum, providing the ability to perform a high-quality resection, with technical advantages over the laparoscopic approach [
1]. However, the new surgical anatomy of the TaTME resection complicates surgical understanding and increases the risks of inadvertent injuries to important anatomic structures [
2]. Detailed technical reports and stepwise description are necessary, to facilitate the surgeon’s familiarization with this new technique and to reduce the learning curve in a safe manner. This video describes, in both sexes, the TaTME approach highlighting the unique anatomic structures and pitfalls, organized into four virtual triangles (anterior, posterior and two laterals) defining a road map of anatomic landmarks [
3]. …
