Intraoperative Decision-Making: Converting to taTME, When and for Whom?
Converting from one approach to another always comes as a tough pill to swallow. It is so for the surgeon, whose plans have to change while accepting that the initially preferred strategy has failed. It also poses challenges for the operating room (OR) staff who must rapidly modify the work setting in order to create the best possible environment to complete the case. There are challenges for the hospital administration as well, since there is evidence that conversion increases the intraoperative and postoperative costs of the surgical process. Most importantly, for the patient, as in the vast majority of cases, converting from a minimally invasive approach to open surgery leads to worst short- and long-term outcomes.
KeywordstaTME TAMIS Conversion Laparoscopy Minimally invasive surgery Outcomes Implications
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