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01-05-2018 | Video Forum

Purse-string rupture: pitfalls of transanal total mesorectal excision (Cecil approach)

Authors: B. Martin-Perez, A. Otero-Piñeiro, A. M. Lacy

Published in: Techniques in Coloproctology | Issue 5/2018

Excerpt

Total mesorectal excision (TME) is the cornerstone of rectal cancer treatment. Transanal total mesorectal excision (TaTME), first described in 2010, is a new technique that is being adopted by many centers due to the solution of technical and anatomical challenges encountered during rectal cancer treatment by either an open or laparoscopic approach, such as narrow, and/or male pelvis and/or obese patient [1]. Evolution of the technique has led to combined transanal and transabdominal total mesorectal excision, called the Cecil approach [2]. …

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Lacy AM, Tasende MM, Delgado S, Fernandez-Hevia M, Jimenez M, De Lacy B, Castells A, Bravo R, Wexner SD, Heald RJ (2015) Transanal total mesorectal excision for rectal cancer: outcomes after 140 patients. J Am Coll Surg 221(2):415–423. https://doi.org/10.1016/j.jamcollsurg.2015.03.046 (Epub 2015 Mar 30) CrossRefPubMed

Arroyave MC, DeLacy FB, Lacy AM (2017) Transanal total mesorectal excision (TaTME) for rectal cancer: step by step description of the surgical technique for a two-teams approach. Eur J Surg Oncol 43(2):502–505. https://doi.org/10.1016/j.ejso.2016.10.024 (Epub 2016 Nov 20) CrossRefPubMed

Bernardi MP, Bloemendaal AL, Albert M, Whiteford M, Stevenson AR, Hompes R (2016) Transanal total mesorectal excision: dissection tips using ‘O’s and ‘triangles’. Tech Coloproctol 20(11):775–778 (Epub 2016 Oct 1) CrossRefPubMed

Atallah S, Albert M, Monson JR (2016) Critical concepts and important anatomic landmarks encountered during transanal total mesorectal excision (taTME): toward the mastery of a new operation for rectal cancer surgery. Tech Coloproctol 20(7):483–494. https://doi.org/10.1007/s10151-016-1475-x. (Epub 2016 May 17) CrossRefPubMed

Penna M, Buchs NC, Bloemendaal AL, Hompes R (2016) Transanal total mesorectal excision for rectal cancer: the journey towards a new technique and its current status. Expert Rev Anticancer Ther 16(11):1145–1153. https://doi.org/10.1080/14737140.2016.1240040 CrossRef

Title: Purse-string rupture: pitfalls of transanal total mesorectal excision (Cecil approach)
Authors: B. Martin-Perez
A. Otero-Piñeiro
A. M. Lacy
Publication date: 01-05-2018
Publisher: Springer International Publishing
Published in: Techniques in Coloproctology / Issue 5/2018
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-018-1797-y

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