UNIGE document Scientific Article
previous document  unige:115221  next document
add to browser collection
Title

Current trends in the management of low rectal tumors: transanal total mesorectal excision

Authors
Published in Current Colorectal Cancer Reports. 2019
Abstract Purpose of Review The access of the low rectum is a surgical challenge and, in case of cancer, the outcome of the patient depends on the quality of the surgery. The transanal total mesorectal excision (taTME) is a surgical technique with a combined abdominal and perineal approach. We review the literature for technical aspect of taTME as well as comparisons with other techniques. Recent Findings Comparison with laparoscopic total mesorectal excision and taTME was summarized in a meta-analysis which showed better oncological results with lower circumferential margin involvement and better completeness of the mesorectum. Summary TaTME is a safe approach. All steps of the intervention are well described and should be followed as numerous pitfalls exist. When compared with laparoscopic or robotic TME, the taTME showed to be safe with similar oncological results. Patients known to be difficult, male, obese, with a narrow pelvis, should be considered for the taTME approach.
Keywords TaTMEMinimally invasive surgeryRectal cancerRobotic surgeryDa Vinci
Identifiers
Full text
Article (Published version) (264 Kb) - public document Free access
Structures
Research group Transplantation et hépatologie (905)
Citation
(ISO format)
CHEVALLAY, Mickael Olivier Patrick et al. Current trends in the management of low rectal tumors: transanal total mesorectal excision. In: Current Colorectal Cancer Reports, 2019. https://archive-ouverte.unige.ch/unige:115221

34 hits

10 downloads

Update

Deposited on : 2019-03-22

Export document
Format :
Citation style :