A mechanism for constructing a durable purse-string during transanal total mesorectal excision

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  1. 1.

    Atallah S, Albert M, Larach S (2010) Transanal minimally invasive surgery: a giant leap forward. Surg Endosc 24:2200–2205

  2. 2.

    Atallah S, Martin-Perez B, Albert M et al (2014) Transanal minimally invasive surgery for total mesorectal excision (TAMIS-TME): results and experience with the first 20 patients undergoing curative-intent rectal cancer surgery at a single institution. Tech Coloproctol 18:473–480

  3. 3.

    Simillis C, Hompes R, Penna M, Rasheed S, Tekkis PP (2015) A systematic review of transanal total mesorectal excision. Is this the future of rectal cancer surgery? Colorectal Dis. doi:10.1111/codi.13151

  4. 4.

    McCulloch P, Altman DG, Campbell WB et al (2009) No surgical innovation without evaluation: the IDEAL recommendations. Lancet 374:1105–1112

  5. 5.

    Nicholson G, Knol J, Houben B, Cunningham C, Ashraf S, Hompes R (2015) Optimal dissection for transanal total mesorectal excision using modified CO2 insufflation and smoke extraction. Colorectal Dis 17:O265–O267

  6. 6.

    Bislenghi G, Wolthuis AM, de Buck van Overstraeten A, D’Hoore A (2015) AirSeal system insufflator to maintain a stable pneumorectum during TAMIS. Tech Coloproctol 19:43–45

  7. 7.

    Bracey E, Knol J, Buchs N et al (2015) Technique for a stapled anastomosis following transanal total mesorectal excision for rectal cancer. Colorectal Dis 17:O208–O212

  8. 8.

    Leão P, Goulart A, Veiga C et al (2015) Transanal total mesorectal excision: a pure NOTES approach for selected patients. Tech Coloproctol 19:541–549

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Author information

Correspondence to S. Atallah.

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Conflict of interest

The authors declare that they have no conflict of interest. The author received no funding for this study, and this work was not supported by any grants or other funding. Dr. S. Atallah is a paid consultant for Applied Medical, Inc. and Surgiquest. Inc., and THD America, Inc. Dr. A. DuBose has no disclosures to report.

Ethical approval

This research did not involve living human participants. This cadaveric experiment was conducted in compliance with ethical standards set forth at our institution.

Informed consent

Informed consent was not required for this type of study.

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Supplementary material 1 (MOV 319948 kb)

Supplementary material 1 (MOV 319948 kb)

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Atallah, S., DuBose, A. A mechanism for constructing a durable purse-string during transanal total mesorectal excision. Tech Coloproctol 19, 751–752 (2015).

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  • Tamis
  • Staple Anastomosis
  • Laparoscopic Suture
  • Enrich Experience
  • Tissue Depth