Frontiers in Oncology (Jan 2022)

Clinical Status and Future Prospects of Transanal Total Mesorectal Excision

  • Zichao Guo,
  • Zichao Guo,
  • Xiaopin Ji,
  • Xiaopin Ji,
  • Shaodong Wang,
  • Shaodong Wang,
  • Yaqi Zhang,
  • Yaqi Zhang,
  • Kun Liu,
  • Kun Liu,
  • Changgang Wang,
  • Changgang Wang,
  • Yang Deng,
  • Yang Deng,
  • Tao Zhang,
  • Tao Zhang,
  • Xi Cheng,
  • Xi Cheng,
  • Ren Zhao,
  • Ren Zhao

DOI
https://doi.org/10.3389/fonc.2021.752737
Journal volume & issue
Vol. 11

Abstract

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Low rectal cancer has always posed surgical challenges to gastrointestinal surgeons. Transanal total mesorectal excision (taTME) is a novel approach to radical resection for low rectal cancer. Compared with conventional laparoscopic TME (laTME), taTME is relevant to the benefits of better vision of the mesorectal plane, feasibility of operating in a narrow pelvis, and exact definition of distal resection margin, which may lead to a higher possibility of free circumferential resection margin, better quality of TME specimen, and lower conversion rate. Although there are concerns about its long-term oncological outcomes and complex learning curve, taTME is a promising alternative for rectal cancer. In this review, we discuss the application status and prospects of taTME.

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