Transanal Laparoscopic TME with Single-Port Abdominal Laparoscopy



In the last decade, single-port laparoscopy (SPL) gained interest as well as the application of transanal laparoscopy for rectal diseases. Different transanal procedures have been described. One of the most attractive transanal laparoscopic surgeries remains the realization of the total mesorectal excision (TME). In this chapter, the transanal TME assisted by SPL, with both colorectal and coloanal anastomoses, is described. The single-access site will be finally used for the temporary ileostomy placement.


Transanal laparoscopy Total mesorectal excision Single-port laparoscopy 


  1. 1.
    Rattner D. Introduction to NOTES white paper. Surg Endosc. 2006;20(2):185.CrossRefPubMedGoogle Scholar
  2. 2.
    Buess G, Theiss R, Gunther M, Hutterer F, Pichlmaier H. Transanal endoscopic microsurgery. Leber Magen Darm. 1985;15(6):271–9.PubMedGoogle Scholar
  3. 3.
    Dapri G. Single-incision laparoscopy: a review of the indications, techniques and results after more than 700 procedures. Asian J Endosc Surg. 2014;7(2):102–16.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Japan 2018

Authors and Affiliations

  1. 1.Department of Gastrointestinal Surgery, European School of Laparoscopic SurgerySaint-Pierre University HospitalBrusselsBelgium

Personalised recommendations