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01-06-2016 | Video Forum

The neurovascular bundle of Walsh and other anatomic considerations crucial in preventing urethral injury in males undergoing transanal total mesorectal excision

Authors: S. Atallah, M. Albert

Published in: Techniques in Coloproctology | Issue 6/2016

Excerpt

Transanal total mesorectal excision (taTME) using the technique of transanal minimally invasive surgery (TAMIS) [1] represents an important development toward improved access to the distal rectum which may improve surgical resection quality [2]. While experience is developing rapidly, the safe implementation of this challenging technique remains crucial [3‐5]. Although uncommon, urethral injury during taTME remains an important, procedure specific morbidity. However, with appropriate training, and a clear understanding of critical anatomic landmarks—which are unique to the taTME perspective—this can be avoided. …

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Atallah S, Albert M, DeBeche-Adams T, Nassif G, Polavarapu H, Larach S (2013) Transanal minimally invasive surgery for total mesorectal excision (TAMIS-TME): a stepwise description of the surgical technique with video demonstration. Tech Coloproctol 17:321–325CrossRefPubMed

Deijen CL, Velthuis S, Tsai A et al (2015) COLOR III: a multicentre randomised clinical trial comparing transanal TME versus laparoscopic TME for mid and low rectal cancer. Surg Endosc. doi:10.1007/s00464-015-4615-x

Hompes R, Arnold S, Warusavitarne J (2014) Towards the safe introduction of transanal total mesorectal excision: the role of a clinical registry. Colorectal Dis 16:498–501CrossRefPubMed

McLemore EC, Harnsberger CR, Broderick RC et al (2015) Transanal total mesorectal excision (taTME) for rectal cancer: a training pathway. Surg Endosc. doi:10.1007/s00464-015-4680-1

Wolthuis AM, Bislenghi G, de Buck van Overstraeten A, D’Hoore A (2015) Transanal total mesorectal excision: towards standardization of technique. World J Gastroenterol 28:12686–12695CrossRef

Walsh PC, Lepor H, Eggleston JC (1983) Radical prostatectomy with preservation of sexual function: anatomical and pathological considerations. Prostate 1:473–485CrossRef

Title: The neurovascular bundle of Walsh and other anatomic considerations crucial in preventing urethral injury in males undergoing transanal total mesorectal excision
Authors: S. Atallah
M. Albert
Publication date: 01-06-2016
Publisher: Springer Milan
Published in: Techniques in Coloproctology / Issue 6/2016
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-016-1468-9

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The neurovascular bundle of Walsh and other anatomic considerations crucial in preventing urethral injury in males undergoing transanal total mesorectal excision

Excerpt

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