Skip to main content

Transanal Total Mesorectal Excision (taTME)

  • Chapter
  • First Online:
Natural Orifice Specimen Extraction Surgery
  • 602 Accesses

Abstract

The taTME for rectal cancer is an integrated combination of transanal endoscopic microsurgery (TEM), transanal microinvasive surgery, transabdominal-transanal (TATA) operations, TME, etc. This procedure epitomized the concept of NOTES. In China, specimens are often extracted through the anus after taTME. In this regard, taTME belongs to the definition of NOSES. At present, relevant clinical studies have shown that taTME can preserve organs and protect neural function to the greatest extent on the basis of radical resection of tumors. It can achieve maximum anus preservation for lower rectal cancer and improve the quality of life of patients after surgery. According to the difference in implementation strategy and the definition of taTME, taTME can be divided into pure taTME and laparoscopic-assisted taTME (hybrid taTME). There are some differences between rectal taTME and conventional rectal surgery. First and foremost, its surgical approach is in the reverse direction of the conventional transabdominal procedure. Therefore, taTME has unique technical characteristics, and its learning curve is longer than that of the conventional surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 People's Medical Publishing House, PR of China

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kang, L. (2021). Transanal Total Mesorectal Excision (taTME). In: Wang, X. (eds) Natural Orifice Specimen Extraction Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-15-7925-7_21

Download citation

  • DOI: https://doi.org/10.1007/978-981-15-7925-7_21

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-7924-0

  • Online ISBN: 978-981-15-7925-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics