Critical concepts and important anatomic landmarks encountered during transanal total mesorectal excision (taTME): toward the mastery of a new operation for rectal cancer surgery
Critical concepts and important anatomic landmarks encountered during transanal total mesorectal excision (taTME): toward the mastery of a new operation for rectal cancer surgery
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DOI：
10.1007/s10151-016-1475-x
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发表时间：
2016-07-01
影响因子：
3.3
通讯作者：
Monson, J. R. T.
中科院分区：
文献类型：
--
作者：
Atallah, S.;Albert, M.;Monson, J. R. T.
在过去的3年中，结直肠外科医生开始采用经肛门全直肠系膜切除术。随着国际经验的迅速形成，人们对这种破坏性技术的缺陷和实际细节有了更好的认识。本技术说明的目的是表达经肛门全直肠系膜切除术在临床应用和国际教学过程中所学到的各种细微差别，以便与处于该方法早期采用阶段的其他外科医生快速沟通和分享重要见解。经肛门全直肠系膜切除术的具体技术要点在此讨论。如果正确应用，这些将可能提高手术质量，并减少因经肛门全直肠系膜切除术经验不足而导致的发病率。
Over the past 3 years, colorectal surgeons have begun to adapt the technique of transanal total mesorectal excision. As international experience has been quickly forged, an improved recognition of the pitfalls and the practical details of this disruptive technique have been realized. The purpose of this technical note was to express the various nuances of transanal total mesorectal excision as learned during the course of its clinical application and international teaching, so as to rapidly communicate and share important insights with other surgeons who are in the early adoption phase of this approach. The technical points specific to transanal total mesorectal excision are addressed herein. When correctly applied, these will likely improve the quality of surgery and decrease morbidity attributable to inexperience with the transanal approach to total mesorectal excision.