Abstract
Laparoscopic dissection of the lower rectum is a technically demanding procedure in patients with a narrow pelvis and a bulky tumor or in those who are obese. Moreover, transection of the rectum using a stapling device deep in the narrow pelvis is the most difficult part of this operation. Transanal mesorectal dissection using transanal endoscopic microsurgery aims to overcome these limitations and was first reported in 2010. Moreover, following the report by Tuech et al. in 2011, a single-port device with laparoscopic instruments is now widely used as a platform for transanal total mesorectal excision (TME). This convenient approach, referred to as transanal minimally invasive surgery (TAMIS), has been welcomed by surgeons who are used to laparoscopic surgery.
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Targarona EM, Balague C, Pernas JC, et al. Can we predict immediate outcome after laparoscopic rectal surgery? Multivariate analysis of clinical, anatomic, and pathologic features after 3-dimensional reconstruction of the pelvic anatomy. Ann Surg. 2008;247:642–9.
Sylla P, Rattner DW, Delgado S, Lacy AM. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc. 2010;24:1205–10.
Tuech JJ, Bridoux V, Kianifard B, et al. Natural orifice total mesorectal excision using transanal port and laparoscopic assistance. Eur J Surg Oncol. 2011;37:334–5.
Atallah S, Martin-Perez B, Albert M, et al. Transanal minimally invasive surgery for total mesorectal excision (TAMIS-TME): results and experience with the first 20 patients undergoing curative-intent rectal cancer surgery at a single institution. Tech Coloproctol. 2014;18:473–80.
Cahill RA. Single port surgery for rectal cancer-going up or down? Dis Colon Rectum. 2013;56:1199–200.
Heald RJ. A new solution to some old problems: transanal TME. Tech Coloproctol. 2013;17:257–8.
Knol JJ, D’Hondt M, Souverijns G, Heald B, Vangertruyden G. Transanal endoscopic total mesorectal excision: technical aspects of approaching the mesorectal plane from below-a preliminary report. Tech Coloproctol. 2015;19(4):221–9.
Atallah S, Martin-Perez B, Pinan J, et al. Robotic transanal total mesorectal excision: a pilot study. Tech Coloproctol. 2014;18:1047–53.
Stelzner S, Holm T, Moran BJ, et al. Deep pelvic anatomy revisited for a description of crucial steps in extralevator abdominoperineal excision for rectal cancer. Dis Colon Rectum. 2011;54:947–57.
Holm T. Controversies in abdominoperineal excision. Surg Oncol Clin N Am. 2014;23:93–111.
Holm T, Ljung A, Haggmark T, Jurell G, Lagergren J. Extended abdominoperineal resection with gluteus maximus flap reconstruction of the pelvic floor for rectal cancer. Br J Surg. 2007;94:232–8.
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© 2016 Springer Japan
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Hasegawa, S., Hida, K., Kawada, K., Sakai, Y. (2016). Transanal Minimally Invasive Surgery for Rectal Cancer. In: Sakai, Y. (eds) Laparoscopic Surgery for Colorectal Cancer. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55711-1_9
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DOI: https://doi.org/10.1007/978-4-431-55711-1_9
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