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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 People's Medical Publishing House, PR of China
About this chapter
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)