Transanal Total Mesorectal Excision: Single-Surgeon Approach

  • Cristina R. Harnsberger
  • Justin A MaykelEmail author


Transanal total mesorectal excision (taTME) has emerged as an additional minimally invasive surgical approach for management of benign and malignant disease of the rectum. It has been demonstrated to be safe and effective, with potential to circumvent some of the challenges inherent in open, laparoscopic, and robotic approaches. Widespread adoption of the taTME approach may be tempered by the demanding technical nature of the procedure and lack of long-term functional and oncologic outcomes, although literature to date has demonstrated significant promise. While simultaneous abdominal and perineal dissection performed with a two-surgeon approach can facilitate a shorter operative duration, a single-surgeon approach has unique advantages as well and will be the focus of this chapter.


Total mesorectal excision Transanal Rectal cancer taTME 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Colon and Rectal SurgeryUniversity of Massachusetts Medical SchoolWorcesterUSA

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