Interpretation of international expert consensus guidance on indications, implementation and quality measures for transanal total mesorectal excision.
10.3760/cma.j.cn.441530-20210122-00038
- VernacularTitle:2020年《经肛全直肠系膜切除手术适应证、实施和质量评估的国际专家共识和指南》要点解读
- Author:
Hong Wei YAO
1
;
Jia Le GAO
1
;
Yong Bo AN
1
;
Zhong Tao ZHANG
1
Author Information
1. Department of General Surgery, National Clinical ResearchCenter for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
- Publication Type:Journal Article
- Keywords:
Guidelines;
International expert consensus;
Rectal neoplasms;
Transanal total mesorectal excision (taTME)
- MeSH:
Consensus;
Humans;
Laparoscopy;
Quality Indicators, Health Care;
Rectal Neoplasms/surgery*;
Rectum/surgery*;
Transanal Endoscopic Surgery
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(4):314-318
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, transanal total mesorectal excision (taTME) has been a hot spot in the field of colorectal surgery. Compared with the traditional laparoscopic technique, taTME has potential advantages in the treatment of rectal diseases. However, the procedural safety and effectiveness of taTME need further verification. In order to ensure the safe and standardized implementation of this procedure, the European Society of Coloproctology, together with 14 international academic organizations related to colorectal surgery and minimally invasive surgery, has developed the international expert consensus guidance on indications, implementation and quality measures for taTME. This paper introduces the background of the international consensus guidance, and interprets its core contents, including the surgical indications (complex pelvic conditions, malignant and benign rectal diseases), surgical quality and outcome evaluation, structured training, and expert center. It is expected to provide reference and guidance for Chinese colorectal surgery colleagues performing taTME.