Transanal Total Mesorectal Excision for Rectal Cancer. 2023

Sue J Hahn, and Ameer Farooq, and Patricia Sylla
Division of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, Box 1259, New York, NY 10029, USA.

Transanal total mesorectal excision (taTME) is a technique where rectal dissection is begun transanally in a "bottom-up" fashion. This technique facilitates dissection of the most distal part of the rectum and allows the establishment of the distal margin for rectal cancer. TaTME has proven its utility in facilitating low rectal dissection with significantly lower conversion rates and acceptable perioperative, oncological, and functional outcomes. However, taTME remains a challenging technique to learn and adopt. This article describes the technique, indications, and outcomes of taTME in rectal cancer during the last decade.

UI MeSH Term Description Entries
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D012004 Rectal Neoplasms Tumors or cancer of the RECTUM. Cancer of Rectum,Rectal Cancer,Rectal Tumors,Cancer of the Rectum,Neoplasms, Rectal,Rectum Cancer,Rectum Neoplasms,Cancer, Rectal,Cancer, Rectum,Neoplasm, Rectal,Neoplasm, Rectum,Rectal Cancers,Rectal Neoplasm,Rectal Tumor,Rectum Cancers,Rectum Neoplasm,Tumor, Rectal
D012007 Rectum The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL. Rectums
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000067368 Transanal Endoscopic Surgery Surgical procedures performed through the anus using a PROCTOSCOPE. TAMIS,Transanal Endoscopic Surgical Procedures,Transanal Minimally Invasive Surgery,Endoscopic Surgeries, Transanal,Endoscopic Surgery, Transanal,Surgeries, Transanal Endoscopic,Surgery, Transanal Endoscopic,Transanal Endoscopic Surgeries
D000078542 Proctectomy Surgical resection of the RECTUM. Abdomino-Perineal Rectum Excision,Abdomino-Perineal Resection,Abdomino-perineal Excision,Abdominoperineal Excision,Abdominoperineal Rectum Excision,Abdominoperineal Resection,Rectum Excision,Rectum Resection,Abdomino Perineal Rectum Excision,Abdomino Perineal Resection,Abdomino perineal Excision,Abdomino-Perineal Rectum Excisions,Abdomino-Perineal Resections,Abdomino-perineal Excisions,Abdominoperineal Excisions,Abdominoperineal Rectum Excisions,Abdominoperineal Resections,Excision, Abdomino-Perineal Rectum,Excision, Abdomino-perineal,Excision, Abdominoperineal,Excision, Abdominoperineal Rectum,Excision, Rectum,Excisions, Abdomino-Perineal Rectum,Proctectomies,Rectum Excision, Abdomino-Perineal,Rectum Excision, Abdominoperineal,Rectum Excisions,Rectum Resections,Resection, Abdomino-Perineal,Resection, Abdominoperineal,Resection, Rectum,Resections, Abdominoperineal
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes

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