The crucial techniques and anatomic markers in transanal total mesorectal excision.
- Author:
Liang KANG
1
;
Shuangling LUO
2
Author Information
1. Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China, Email: kangl@mail.sysu.edu.cn.
2. Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China.
- Publication Type:Journal Article
- MeSH:
Anal Canal;
Colorectal Surgery;
Humans;
Rectal Neoplasms;
surgery;
Rectum;
Transanal Endoscopic Surgery
- From:
Chinese Journal of Gastrointestinal Surgery
2019;22(3):220-223
- CountryChina
- Language:Chinese
-
Abstract:
Transanal total mesorectal excision (taTME) for rectal cancer is a hot spot in the field of colorectal surgery in recent years, because this technique has the advantages of clear distal margin, early separation of tumor leision, in the treatment of low rectal cancer. However, this technique is not popularized yet, and there are only a few colorectal surgeons who have enough experience. This article shares the experience of taTME in our hospital, including the details of purse string suture, spiral dissection of rectum, and the anatomic markers of anterior and posterior of rectum, conjoined longitudinal muscle and capillary of pelvic nerves locating in pelvic fascia. We sum up the crucial techniques as transanal operation, single port endoscopic technique and mucosal surgical principle (from inside to outside and from bottom to top), aiming to help colorectal surgeons to grasp the essentials of the techniques with initial cases as soon as possible, and to shorten the learning curve, so that more and more patients can benefit.
