Transanal total mesorectal excision for rectal cancer: it’s come a long way and here to stay

Transanal total mesorectal excision (TaTME) was introduced as a novel technique to deal with rectal cancers. Its transanal approach offered the shortest distance to approach a challenging location, allowing an excellent visualization of the distal resection margin. Since its introduction in 2010, a...

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Main Authors: Jing Yu Ng, Chien-Chih Chen
Format: Article
Language:English
Published: Korean Society of Coloproctology 2022-08-01
Series:Annals of Coloproctology
Subjects:
Online Access:http://coloproctol.org/upload/pdf/ac-2022-00374-0053.pdf
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author Jing Yu Ng
Chien-Chih Chen
author_facet Jing Yu Ng
Chien-Chih Chen
author_sort Jing Yu Ng
collection DOAJ
description Transanal total mesorectal excision (TaTME) was introduced as a novel technique to deal with rectal cancers. Its transanal approach offered the shortest distance to approach a challenging location, allowing an excellent visualization of the distal resection margin. Since its introduction in 2010, a significant amount of research has been put in to measure its development. In this review, we look at its ancestry, the genesis for its introduction and continued evolution as well as some of the important outcomes in its journey thus far. The importance of a structured and proctored learning journey is also stressed to enable the safe application and development of this technique. Beyond this, the TaTME movement has progressed relentlessly and its utility has been expanded to the management of benign conditions such as inflammatory bowel disease, Hartman reversals, and anastomotic strictures. We believe that the continued development and adoption of TaTME worldwide is here to stay.
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spelling doaj.art-5fac6f6561b949f382c26676507634392022-12-22T02:59:23ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222022-08-0138428328910.3393/ac.2022.00374.00531945Transanal total mesorectal excision for rectal cancer: it’s come a long way and here to stayJing Yu Ng0Chien-Chih Chen1 1Department of Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore Department of Surgery, Koo Foundation Sun Yat-Sen Cancer Centre, Taipei, TaiwanTransanal total mesorectal excision (TaTME) was introduced as a novel technique to deal with rectal cancers. Its transanal approach offered the shortest distance to approach a challenging location, allowing an excellent visualization of the distal resection margin. Since its introduction in 2010, a significant amount of research has been put in to measure its development. In this review, we look at its ancestry, the genesis for its introduction and continued evolution as well as some of the important outcomes in its journey thus far. The importance of a structured and proctored learning journey is also stressed to enable the safe application and development of this technique. Beyond this, the TaTME movement has progressed relentlessly and its utility has been expanded to the management of benign conditions such as inflammatory bowel disease, Hartman reversals, and anastomotic strictures. We believe that the continued development and adoption of TaTME worldwide is here to stay.http://coloproctol.org/upload/pdf/ac-2022-00374-0053.pdftransanal endoscopic surgeryrectal excisionrectal neoplasmsminimally invasive surgical procedures
spellingShingle Jing Yu Ng
Chien-Chih Chen
Transanal total mesorectal excision for rectal cancer: it’s come a long way and here to stay
Annals of Coloproctology
transanal endoscopic surgery
rectal excision
rectal neoplasms
minimally invasive surgical procedures
title Transanal total mesorectal excision for rectal cancer: it’s come a long way and here to stay
title_full Transanal total mesorectal excision for rectal cancer: it’s come a long way and here to stay
title_fullStr Transanal total mesorectal excision for rectal cancer: it’s come a long way and here to stay
title_full_unstemmed Transanal total mesorectal excision for rectal cancer: it’s come a long way and here to stay
title_short Transanal total mesorectal excision for rectal cancer: it’s come a long way and here to stay
title_sort transanal total mesorectal excision for rectal cancer it s come a long way and here to stay
topic transanal endoscopic surgery
rectal excision
rectal neoplasms
minimally invasive surgical procedures
url http://coloproctol.org/upload/pdf/ac-2022-00374-0053.pdf
work_keys_str_mv AT jingyung transanaltotalmesorectalexcisionforrectalcanceritscomealongwayandheretostay
AT chienchihchen transanaltotalmesorectalexcisionforrectalcanceritscomealongwayandheretostay