Abstract:
:Transanal total mesorectal excision (taTME) is a novel technique that has evolved over the years to address the challenges of low rectal cancer surgery by applying the principles and benefits of laparoscopic surgery to more historic transanal techniques. It has been popularized through its use in rectal cancer, but the transanal approach is slowly being expanded to tackle different clinical scenarios including benign conditions such as inflammatory bowel disease and endometriosis. For all of these new indications, it is the desire to access and begin the dissection in native tissue beyond the pathology which makes this approach applicable to other diseases where anatomy can be challenging. Training pathways to safely introduce taTME in a standardized manner are being developed and implemented in a bid to ensure adequate training to all the surgeons using this technique and thus minimize complications and patient morbidity. The future directions of this promising technique include the use of image and optical technological enhancement to aid navigation, the use of pneumorectum stabilization, and perhaps the use of fluorescence as a safety improvement. Developments have come also from the field of robotics. After a demonstration of feasibility in cadaver models, a growing experience has been gathered in the robotic approach to taTME, covered in the last part of this chapter.
journal_name
Clin Colon Rectal Surgjournal_title
Clinics in colon and rectal surgeryauthors
Soares AS,Chand Mdoi
10.1055/s-0039-3402781subject
Has Abstractpub_date
2020-05-01 00:00:00pages
180-186issue
3eissn
1531-0043issn
1530-9681pii
00986journal_volume
33pub_type
杂志文章,评审abstract::Colorectal cancer begins as a polyp that is a benign growth on the mucosal surface of the colon or rectum. Over a period of 5 to 15 years, polyps can degenerate into a cancer, thus invading the colonic wall. Colorectal screening methods are designed to diagnose and remove polyps before they acquire invasive potential ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1584091
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journal_title:Clinics in colon and rectal surgery
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abstract::Our understanding of the genetics of colorectal cancer has changed dramatically over recent years. Colorectal cancer can be classified in multiple different ways. Along with the advent of whole-exome sequencing, we have gained an understanding of the scale of the genetic changes found in sporadic colorectal cancer. We...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0037-1602234
更新日期:2018-05-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
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doi:10.1055/s-0036-1597317
更新日期:2017-04-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
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更新日期:2004-08-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
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更新日期:2010-09-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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journal_title:Clinics in colon and rectal surgery
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doi:10.1055/s-2007-991033
更新日期:2007-11-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0039-1687836
更新日期:2019-09-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0038-1673358
更新日期:2019-01-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0029-1242459
更新日期:2009-11-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0031-1278406
更新日期:2011-06-01 00:00:00
abstract::Squamous cell carcinoma of the anus (SCCA) is a rare tumor. However, its incidence has been increasing in men and women over the past 25 years worldwide. Risk factors associated with this cancer are those behaviors that predispose individuals to human papillomavirus (HPV) infection and immunosuppression. Anal cancer i...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0031-1286002
更新日期:2011-09-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2007-984863
更新日期:2007-08-01 00:00:00
abstract::Since the early 1900s, skeletal muscle transpositions have been employed for complicated cases of fecal incontinence to augment or replace the anal sphincter. Multiple techniques have evolved that vary with the type and configuration of muscle used in the reconstruction. Transposition of the gluteus maximus muscle was...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2005-864081
更新日期:2005-02-01 00:00:00
abstract::When utilized properly, social media offers several personal and professional benefits for the practicing surgeon, including peer networking, education, e-mentorship, marketing, recruitment, and patient outreach. However, unprofessional online behavior is common among surgeons, and this improper use of social media ca...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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abstract::Hemorrhoid disease is the most common reason patients seek evaluation by a colon and rectal surgeon. The majority of hemorrhoids can be managed nonoperatively with medical management or office-based procedures. The authors review the anatomy, pathophysiology, presentation, and management of hemorrhoids. ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0031-1272818
更新日期:2011-03-01 00:00:00
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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journal_title:Clinics in colon and rectal surgery
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abstract::In the United States, the prevalence of adenomatous polyps found during colonoscopic evaluation ranges from 25 to 41%, and of these, 2 to 5% contain invasive malignancy. The management of the malignant polyp continues to be challenging. Endoscopic resection by polypectomy has been shown to be sufficient for management...
journal_title:Clinics in colon and rectal surgery
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更新日期:2008-11-01 00:00:00
abstract::Intussusception is defined as the invagination of one segment of the bowel into an immediately adjacent segment of the bowel. Idiopathic ileocolic intussusception is the most common form in children and is typically managed with nonoperative reduction via pneumatic and/or hydrostatic enemas. In the adult population, i...
journal_title:Clinics in colon and rectal surgery
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abstract::All colorectal operations carry significant associated risk. To facilitate the best outcomes it is essential to perform a comprehensive evaluation of patient risk preoperatively. Once risk factors are identified the appropriate steps must be taken to minimize their effects. The evaluation of the patient can be broken ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
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更新日期:2009-02-01 00:00:00
abstract::A dynamic evolution is occurring in transanal surgery. Transanal techniques began with intraluminal surgical removal of rectal masses and have progressed to transanal total mesorectal excision (taTME) for rectal cancer. TaTME was first performed in 2009 by Sylla, Rattner, Delgado, and Lacy. This article documents the ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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更新日期:2020-05-01 00:00:00
abstract::The evolution over the past 20 years of anal preservation in rectal cancer surgery has been truly remarkable. Intersphincteric resection (ISR) reported by Schiessel in 1994 in Australia has been shown to enable anal preservation even for cancers quite close to the anus. In Japan, ISR via the detachment of the anal can...
journal_title:Clinics in colon and rectal surgery
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更新日期:2020-11-01 00:00:00
abstract::Colorectal cancer, which kills more than 50,000 patients every year in the United States and costs more than $6 billion in direct health costs, is a prime target for cancer prevention. Computed tomography colonography (CTC) has emerged as a minimally invasive, structural examination of the entire colon that can comple...
journal_title:Clinics in colon and rectal surgery
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更新日期:2008-08-01 00:00:00
abstract::Locally advanced colorectal cancer is a challenge for surgeons and medical oncologist; 10 to 20% colorectal cancer debut as locally advanced disease, with tumors extending through the colon wall with perforation and/or invasion of adjacent organs or structures. Those locally advanced tumors have a worse prognostic at ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0040-1713742
更新日期:2020-09-01 00:00:00