WebJul 14, 2024 · The authors present some specific tips and tricks to perform this complex procedure using a double team approach and a new reusable transanal port. Laparoscopic total mesorectal excision (TME) can be technically challenging especially in obese and patients with narrow pelvis. Transanal TME (TaTME) is a technique that combines … WebOct 1, 2024 · Transanal TME (TaTME) involves a “bottoms up” approach through transanal endoscopic platforms under magnification from both the abdominal and transanal fields [9, 10]. This approach is superior in addressing the purse-string suture placement prior to starting the anal-side rectal dissection using insufflation and provides excellent direct …
Advanced applications of transanal total mesorectal excision …
WebBackground: Transanal total mesorectal excision (taTME) is a surgical approach for low rectal cancer with a learning curve estimated at 40-50 cases. The experience among taTME surgeons beyond their learning curve is limited. Methods: A retrospective analysis of all taTME cases performed for rectal cancer at two tertiary care hospitals from 2014 to 2024 … WebMay 9, 2024 · Published results from single-center taTME series and an international registry suggest the short-term procedural and oncologic safety of this approach in resectable rectal cancer. No multicenter phase II study has yet been conducted to validate the procedural safety, functional outcomes or long-term oncologic outcomes of this approach. boy shorts women\u0027s panties
Advanced applications of transanal total mesorectal excision (taTME …
WebA single-access multichannel port was inserted in the anal canal. taTME was performed from down to up until the sacral promontory posteriorly and the Pouch of Douglas … WebWe excluded extended surgeries. We used cumulative sum (CUSUM) curve analysis to identify inflection points. Between 2015 and 2024, 588 patients underwent surgery for rectal cancer at our center: 67 taTME and 79 robot-assisted surgeries. To overcome the operative time learning curve, 14 cases were needed for taTME and 53 for robot-assisted surgery. WebTaTME initially appears to be a comparable method with classic laparoscopy in terms of clinical outcomes, with the only difference being longer operating time in TaTME. 17,38,39 This burden may be resolved by using a two-team approach: two laparoscopic sets and two teams of surgeons, wherein one team is responsible for the transanal step and the other … gwyn hall neath what\u0027s on