Transanal Laparoscopic TME with Reduced Port Abdominal Laparoscopy

  • Ricardo Zorron


Applications for natural orifice translumenal endoscopic surgery (NOTES) to access the abdominal cavity have increased in recent years. The modern rectal surgery evolves to a prioritization of the transanal access to allow natural orifice surgery. Despite potential advantages of transanal NOTES for colorectal diseases, it has not been widely applied in the clinical setting. This chapter discusses our experience with an evolving transanal technique for total mesorectal excision (TME), the so-called down-to-up total mesorectal excision for rectal cancer using reduced transabdominal laparoscopic assistance. Clinical experience and future trends in transrectal surgery are also discussed.


Rectal cancer Total mesorectal excision (TME) Down-to-up transanal rectal resection Natural orifice surgery NOTES 


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Copyright information

© Springer Japan 2018

Authors and Affiliations

  1. 1.Center for Innovative Surgery- ZIC, Department of SurgeryCampus Charité Mitte / Campus Virchow-Klinikum, Charité – Universitätsmedizin BerlinBerlinGermany

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