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Transanal total mesorectal excision for rectal cancer – just a fashion trend?


Authors: Z. Kala 1;  M. Škrovina 2,3;  V. Procházka 1;  T. Grolich 1;  K. Klos 2
Authors‘ workplace: Chirurgická klinika, FN Brno, přednosta: prof. MUDr. Z. Kala, Ph. D. 1;  Chirurgické oddělení, Nemocnice Nový Jičín, a. s., Komplexní onkologické centrum Nový Jičín primář: MUDr. M. Škrovina, Ph. D. 2;  I. chirurgická klinika, LF UP Olomouc, přednosta: prof. MUDr. Č. Neoral, CSc. 3
Published in: Rozhl. Chir., 2014, roč. 93, č. 12, s. 564-567.
Category: Review

Overview

Transanal total mesorectal excision performed using equipment for transanal minimally invasive surgery is an innovative surgical technique introduced to facilitate this procedure and to reach better oncosurgical outcomes in patients with low rectal cancer. This article presents a brief summary of guidelines for treatment of patients with low rectal carcinoma. Up-to-date information about the principles of this new method, its modifications and contemporary indications is presented. Based on their own experience and literature resources, the authors inform about the advantages, limitations and unresolved issues of minimally invasive transanal mesorectal excision.

Key words:
total mesorectal excision − transanal minimally invasive surgery


Sources

1. Kala Z, Tomášek J, Šlampa P, Bohatá Š, Válek V. Komplexní léčba karcinomu rekta. Postgraduální medicína 2014;16:256−64.

2. Ferko A, Orhalmi J, Hadži Nikolov D, et al. The radicality of surgical resection in rectal cancer. Analysis of factors associate with incomplete mesorectal excision. Rozhl Chir 2013;92:304−10.

3. Baulieux J, Mabrut JY, Adham M, et al. Excision of low rectal carcinomas with sphincter preservation. Multimodal strategy using neoadjuvant radiotherapy and „delayed“ coloanal anastomosis without defunctioning stoma. Bull Acad Natl Med 2004;188:1509−24; discussion 1524−7.

4. de Lacy AM, Rattner DW, Adelsdorfer C, et al. Transanal natural orifice transluminal endoscopic surgery (NOTES) rectal resection: „down-to-up“ total mesorectal excision (TME) – short-term outcomes in the first 20 cases. Surg Endosc 2013;27:3165−72.

5. Rullier E, el al. Low rectal cancer: Classification and standartization of surgery. Diseases of the Colon. 2013;56:560−67.

6. Heald RJ. A new solution to some old problems: transanal TME. Techniques in Coloproctology 2013;17:257−8.

7. Zhang H, et al. Transanal single-port laparoscopic total mesorectal excision in the treatment of rectal cancer. Techniques in Coloproctology 2013;17:117−23.

8. Sylla P, et al. A pilot study of natural orifice transanal endoscopic total mesorectal excision with laparoscopic assistance for rectal cancer. Surgical Endoscopy 2013;27:3396−3405.

9. Atllah S, et al. Transanal minimally invasive surgery for total mesorectal excision (TAMIS–TME): results and experience with the first 20 patients undergoing curative-intent rectal cancer surgery at a single institution. Techniques in coloproctology 2014;18:473−80.

10. Leroy J. No-scar transanal total mesorectal excision. JAMA Surgery 2013;148: 226−30.

Labels
Surgery Orthopaedics Trauma surgery
Topics Journals
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