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Techniques in Coloproctology

, Volume 21, Issue 12, pp 971–974 | Cite as

Initial experience with taTME in patients undergoing laparoscopic restorative proctocolectomy for familial adenomatous polyposis

  • P. C. Ambe
  • H. Zirngibl
  • G. Möslein
Original Article

Abstract

Background

Transanal total mesorectal excision (taTME) is a minimally invasive technique which was developed to overcome the difficulties associated with the “top-down” pelvic dissection by enabling a “bottom-up” dissection in patients with mid- and low rectal cancer. While this technique was primarily designed to manage tumors in the mid- and lower rectum, its spectrum of indications has been broadened to include benign colorectal pathologies. The aim of the present study was to assess our initial experience with taTME in patients undergoing restorative proctocolectomy for familial adenomatous polyposis (FAP).

Methods

All consecutive patients (undergoing prophylactic restorative proctocolectomy with IPAA for FAP using taTME between April and October 2016 at our institution) were included in the study.

Results

There were 8 patients (6 females and 2 males). The median age was 19.5 years (range 16–31 years). In all cases, surgery was successfully completed using with taTME. No perioperative complications were recorded. A median of 5 bowel movements (range 4–6 bowel movements) with intermittent anti-diarrheal medication was recorded in all cases.

Conclusions

Our initial experience with 8 consecutive cases suggests taTME is safe and effective in patients undergoing prophylactic restorative proctocolectomy with IPAA for FAP.

Keywords

Adenomatous polyposis coli taTME Proctocolectomy Restorative Pouch 

Notes

Authors’ contributions

PCA, GM and HZ contributed to conception and design. PCA, HZ and GM contributed to data acquisition/analysis and interpretation. PA drafted the manuscript. PCA, HZ and GM critically reviewed the manuscript. GM, HZ and PCA finally approved the manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the board of Review at the Witten/Herdecke University.

Informed consent

All patients consented to the use of their data in this study.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Department of Surgery, Helios University Hospital WuppertalWitten/Herdecke UniversityWuppertalGermany
  2. 2.Center for Hereditary Tumor Diseases, Helios University Hospital WuppertalWitten/Herdecke UniversityWittenGermany

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