Transanal total mesorectal excision: Towards standardization of technique

doi:10.3748/wjg.v21.i44.12686

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Nov 28, 2015; 21(44): 12686-12695
Published online Nov 28, 2015. doi: 10.3748/wjg.v21.i44.12686

Transanal total mesorectal excision: Towards standardization of technique

André D’Hoore, Anthony de Buck van Overstraeten, Gabriele Bislenghi, Albert M Wolthuis

Albert M Wolthuis, Gabriele Bislenghi, Anthony de Buck van Overstraeten, André D’Hoore, Department of Abdominal Surgery, University Hospital Leuven, 3000 Leuven, Belgium

Author contributions: Wolthuis AM and D’Hoore A designed the study; Wolthuis AM, Bislenghi G and de Buck van Overstraeten A performed the study; Wolthuis AM and Bislenghi G analysed the data; Wolthuis AM, Bislenghi G, de Buck van Overstraeten A and D’Hoore A wrote the paper.

Conflict-of-interest statement: The authors declare no conflict of interest.

Correspondence to: Albert M Wolthuis, MD, Department of Abdominal Surgery, University Hospital Leuven, Herestraat 49, 3000 Leuven, Belgium. albert.wolthuis@uzleuven.be

Telephone: +32-16-344265 Fax: +32-16-344832

Received: May 16, 2015
Peer-review started: May 20, 2015
First decision: July 14, 2015
Revised: August 1, 2015
Accepted: October 23, 2015
Article in press: October 26, 2015
Published online: November 28, 2015
Processing time: 194 Days and 23.6 Hours

Core Tip

Core tip: Transanal total mesorectal excision (TaTME) is a result of recent developments in transanal endoscopic microsurgery, transanal minimally invasive surgery, natural orifice specimen extraction, natural orifice transluminal endoscopic surgery, transanal abdominal transanal proctosigmoidectomy, and laparoscopic total mesorectal excision. TaTME is an exciting convergence of various existing surgical techniques that represents the future of rectal cancer surgery. A substantial number of patients, and especially obese males with a narrow pelvis, will benefit from this minimally invasive approach. This systematic review addresses all aspects of TaTME and discusses the advantages and disadvantages of this technique. Different surgical approaches are used, but it is clear that experience with TaTME is increasing worldwide. Standardization of the technique and reporting of outcomes is required.