Abstract
The management and quality of rectal cancer treatment has evolved in the last few decades. Most recent developments in this field have been technical through the use of laparoscopic and minimally invasive techniques. Whilst the benefit of laparoscopic surgery for colonic cancer has been proven there remains some controversy about it’s use in surgery for mid and low rectal cancers that require total mesorectal excision. In recent years transanal total mesorectal excision (TaTME) has been described which appears to circumnavigate some of the technical difficulties of laparoscopic mobilisation of the low rectum. This chapter describes indications, technical considerations and early outcome data about transanal TME.
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References
Heald RJ, Ryall RD. Recurrence and survival after total mesorectal excision for rectal cancer. Lancet. 1986;1(8496):1479–82.
Heald RJ. A new approach to rectal cancer. Br J Hosp Med. 1979;22:277–81.
Bejelkeset T, Edna TH. Rectal cancer: the influence of type of operation on local recurrence and survival. Eur J Surg. 1996;162(8):643–8.
Ortiz H, Wibe A, Ciga MA, Lujan J, Codina A, Biondo S. Impact of a multidisciplinary team training programme on rectal cancer outcomes in Spain. Colorectal Dis. 2013;15(5):544–51.
Marks J, Mizrahi B, Dalane S, Nweze I, Marks G. Laparoscopic transanal abdominal transanal resection with sphincter preservation for rectal cancer in the distal 3 cm of the rectum after neoadjuvant therapy. Surg Endosc. 2010;24:2700–7. doi:10.1007/s00464-010-1028-8.
Q D, Adam JP, Rullier A, Buscail E, Laurent C, Rullier E. Perineal transanal approach: a new standard for laparoscopic sphincter-saving resection in low rectal cancer, a randomized trial. Ann Surg. 2014;260(6):993–9.
Buess G, Theiss R, Gunther M, Hutterer F, Pichlmaier H. Transanal endoscopic microsurgery. Leber Magen Darm. 1985;15(6):271–9.
Knol J, D’Hondt M, Dozois EJ, Vanden Boer J, Malisse Received P. Laparoscopic-assisted Sigmoidectomy with Transanal Specimen Extraction: a bridge to NOTES? Tech Coloproctol. 2009;13:65–8.
Whiteford MH, Denk PM, Swamstrom LL. Feasibility of radical sigmoid colectomy performed as natural orifice translumenal endoscopic surgery (NOTES) using transanal endoscopic microsurgery. Surg Endosc. 2007;21:1870–4.
Diana M, Wall J, Costantino F, et al. Transanal extraction of the specimen during laparoscopic colectomy. Colorectal Dis. 2011;13(Suppl 7):23–7.
Franklin ME, Liang S, Russek K. Natural orifice specimen extraction in laparoscopic colorectal surgery: transanal and transvaginal approaches. Tech Coloproctol. 2013;17:S63–7.
Emhoff IA, Lee GC, Sylla P. Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES). Dig Endosc. 2014;26(Suppl 1):29–42.
Sylla P. Current experience and future directions of completely NOTES colorectal resection. World J Gastrointest Surg. 2010;2:193–8.
Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365(9472):1718–26.
Bhattacharjee H, Buess G, Becerra Garcia F, et al. A novel single-port technique for transanal rectosigmoid resection and colorectal anastomosis on an ex vivo experimental model. Surg Endosc. 2011;25:1844–57.
McLemore EC, Coker AM, Devaraj B, Chakedis J, et al. TAMIS-assisted laparoscopic low anterior resection with total mesorectal excision in a cadaveric series. Surg Endosc. 2013;27(9):3478–84.
D’Hoore A, Wolthuis M. Laparoscopic low anterior resection and transanal pull-through for low rectal cancer: a Natural Orifice Specimen Extraction (NOSE) technique. Colorectal Dis. 2011;13(7):28–31.
Atallah S, Albert M, DeBeche-Adams T, Nassif G, et al. Transanal minimally invasive surgery for total mesorectal excision (TAMIS-TME): a stepwise description of the surgical technique with video demonstration. Tech Coloproctol. 2013;17(3):321–5.
Zorron R, Henrique Neubarth P, Coelho D. Perirectal NOTES access: “down-to-up” total mesorectal excision for rectal cancer. Surg Innov. 2012;19(1):11–9.
Sylla P, Bordeianou LG, Berger D, Han KS, et al. A pilot study of natural orifice transanal endoscopic total mesorectal excision with laparoscopic assistance for rectal cancer. Surg Endosc. 2013;27(9):3396–405.
Trunzo J, Delaney C. Natural orifice proctectomy using a transanal endoscopic microsurgical technique in a porcine model. Surg Innov. 2010;17:48–52.
Sohn D, Jeong S, Park J, et al. Comparative study of NOTES rectosigmoidectomy in a swine model: E-NOTES vs. P-NOTES. Endoscopy. 2011;43:526–32.
Telem D, Berger DL, Bordeianou LG, Rattner DW, Sylla P. Update on transanal NOTES for rectal cancer: transitioning to human trials. Minim Invasive Surg. 2012;2012:287613.
Telem DA, Han KS, Kim M-C, et al. Transanal rectosigmoid resection via natural orifice translumenal endoscopic surgery (NOTES) with total mesorectal excision in a large human cadaver series. Surg Endosc. 2013;27:74–80.
Bhattacharjee H, Kirschniak A, Storz P, Wilhelm P, Kunert W. Transanal endoscopic microsurgery-based transanal access for colorectal surgery: experience on human cadavers. J Laparoendosc Adv Surg Tech A. 2011;21:835–40.
Sylla P, Rattner DW, Delgado S, Lacy AM. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc. 2010;24:1205–10.
Lacy AM, Rattner DW, Adelsdorfer C, Tasende MM, Fernández M, Delgado S, Sylla P, Martínez-Palli G. Transanal natural orifice transluminal endoscopic surgery (NOTES) rectal resection: “down-to-up” total mesorectal excision (TME)—short-term outcomes in the first 20 cases. Surg Endosc. 2013;27:3165–317.
Velthuis S, Nieuwenhuis DH, Ruijter TE, Cuesta MA, Bonjer HJ, Sietses C. Transanal versus traditional laparoscopic total mesorectal excision for rectal carcinoma. Surg Endosc. 2014;28(12):3494–9. doi:10.1007/s00464-014-3636.
Atallah S, Martin-Perez B, Albert M, de Beche-Adams T, et al. 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. 2014;18(5):473–80.
Tuech JJ, Bridoux V, Kianifard B, et al. Natural orifice total mesorectal excision using transanal port and laparoscopic assistance. Eur J Surg Oncol. 2011;37:334–5.
Lacy AM, Adelsdorfer C, Delgado S, Sylla P, Rattner DW, et al. Surg Endosc. 2013;27(1):339–46.
Sylla P, Lacy AM. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery. Eur Surg. 2011;43:146–52.
Dumont F, Goéré D, Honoré C, Elias D. Transanal endoscopic total mesorectal excision combined with single-port laparoscopy. Dis Colon Rectum. 2012;55(9):996–1001.
Funahashi K, Shiokawa H, Teramoto T, Koike J, Kaneko H. Clinical outcome of laparoscopic intersphincteric resection combined with transanal rectal dissection for t3 low rectal cancer in patients with a narrow pelvis. Int J Surg Oncol. 2011;2011:901574.
Velthuis S, van den Boezem PB, van der Peet DL, Cuesta MA, Sietses C. Feasibility study of transanal total mesorectal excision. Br J Surg. 2013;100:828–31.
Van der Pas MH, Haglind E, Cuesta MA, et al. Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial. Lancet Oncol. 2013;14:210–8.
Tasende M, Delgado S, DeLacy B, Diaz del Gobbo G, Fernandez M, Jimenez M, et al. Transanal total mesorectal excision for rectal cancer: short term outcomes alter 100 cases. Colorectal Dis. 2014;16:14.
Leroy J, Barry BD, Melani A, et al. No-scar transanal total mesorectal excision: the last step to pure NOTES for colorectal surgery. JAMA Surg. 2013;148:226–30.
Chouillard E, Chahine E, Khoury G, Vinson-Bonnet B, Gumbs A, Azoulay D, Abdalla E. NOTES total mesorectal excision (TME) for patients with rectal neoplasia: a preliminary experience. Surg Endosc. 2014;28(11):3150–7. doi:10.1007/s00464–014-3573-z.
Rullier E, Denost Q, Vendrely V, Rullier A, Laurent C. Low rectal cancer: classification and standardization of surgery. Dis Colon Rectum. 2013;56(5):560–7. doi:10.1097/DCR.0b013e31827c4a8c.
Simillis C, Hompes R, Penna M, Rasheed S, Tekkis P. A systematic review of transanal total mesorectal excision: is the future of rectal cancer surgery? Colorectal Dis. 2016;18(1):19–36.
Rouanet P, Mourregot A, Azar C, et al. Transanal endoscopic proctectomy: an innovative procedure for difficult resection of rectal tumours in men with narrow pelvis. Dis Colon Rectum. 2013;56:408–15.
Hasegawa S, Takahashi R, Hida K, Kawada K, Sakai Y. Transanal total mesorectal excision for rectal cancer. Surg Today 2016;46(6):641–53.
Tuech JJ, Karoui M, Lelong B, De Chaisemartin C, et al. A step toward NOTES total mesorectal excision for rectal cancer: endoscopic transanal protectomy. Ann Surg. 2015;261(2):228–33.
Leroy J, Jamali F, Forbes L, et al. Laparoscopic total mesorectal excision (TME) for recta cancer surgery: long-term outcomes. Surg Endosc. 2004;281–9(120):18.
Fernández-Hevia M, Delgado S, Castells A, Tasende M, Momblan D, Díaz del Gobbo G, DeLacy B, Balust J, Lacy AM. Transanal total mesorectal excision in rectal cancer: short-term outcomes in comparison with laparoscopic surgery. Ann Surg. 2015;261(2):221–7. doi:10.1097/SLA.0000000000000865.
Muratore A, Mellano A, Marsanic P, De Simone M. Transanal total mesorectal excision (taTME) for cáncer located in the lower rectum: short- and mid-term results. Eur J Surg Oncol. 2015;41:478–83.
Elmore U, Fumagalli Romario U, Vignali A, Sosa MF, Angiolini MR, Rosati R. Laparoscopic anterior resection with transanal total mesorectal excision for rectal cancer: preliminary experience and impact on postoperative bowel function. J Laparoendosc Adv Surg Tech A. 2015;25:5.
Aly EH. Robotic colorectal surgery: summary of the current evidence. Int J Colorectal Dis. 2014;29:1–8.
Huscher CGS, Bretagnol F, Ponzano C. Robotic-assisted transanal total mesorectal excision: the key against the Achilles’ heel of rectal cancer? Ann Surg. 2015;261:120–1.
Atallah S, Martin-Perez B, Pinan J, et al. Robotic transanal total mesorectal excision: a pilot study. Tech Coloproctol. 2014;18:1047–53.
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DeLacy, F.B., Jiménez-Toscano, M., Lacy, A.M. (2017). Transanal Total Mesorectal Excision. In: Beynon, J., Harris, D., Davies, M., Evans, M. (eds) Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-55957-5_8
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DOI: https://doi.org/10.1007/978-3-319-55957-5_8
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