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Pure Transanal Laparoscopic TME without Abdominal Laparoscopy

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Surgical Techniques in Rectal Cancer

Abstract

Transanal rectal dissection was put forward by Toupet 60 years ago in 1950. The objective was to preserve the anal sphincter in low rectal tumors in patients with a narrow pelvis.

At present, there is a renewed interest due to the use of video endoscopes which allow for an excellent visualization of anatomical structures by transanal way. Following the studies of John Marks who described the laparoscopic transanal transabdominal (TATA) surgical procedure, hybrid techniques combining the transanal approach with laparoscopic assistance have increased.

Here, the authors propose a full resection technique of the rectum and of its meso using a purely transanal approach. The different steps of this technique and the required armamentarium have been perfectly described and illustrated.

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Author information

Authors and Affiliations

  1. Hanoi High Tech & Digestive Center, Saint Paul Hospital, 12 Chu Vãn An, Dien Bien Phu, Ba Dinh, Hanoi, Vietnam

    Joel Leroy

  2. IRCAD/EITS (Research Institute Against Digestive Cancer/European Institute of TeleSurgery), Strasbourg, 67075, France

    Joel Leroy & Ntourakis Dimitrios

  3. 48 Route de la Colline, 62172, Bouvigny-Boyeffles, France

    Joel Leroy

  4. Department of Surgical Oncology, M3-130, Princess Margaret Cancer Centre, University of Toronto, 610 University Avenue, Toronto, M5G 2M9, Canada

    Usmaan Hameed

  5. Department of Digestive Surgery, Louis Mourier Hospital, Paris, France

    Frédéric Bretagnol M.D., Ph.D.

Authors
  1. Joel Leroy
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  2. Usmaan Hameed
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  3. Ntourakis Dimitrios
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  4. Frédéric Bretagnol M.D., Ph.D.
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Corresponding author

Correspondence to Joel Leroy .

Editor information

Editors and Affiliations

  1. Saint-Pierre University Hospital, Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Brussels, Belgium

    Giovanni Dapri

  2. Minimally Invasive Colorectal Surgery, Lankenau Medical Center, Main Line Healthcare, Wynnewood, Pennsylvania, USA

    John H Marks

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© 2018 Springer Japan

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Cite this chapter

Leroy, J., Hameed, U., Dimitrios, N., Bretagnol, F. (2018). Pure Transanal Laparoscopic TME without Abdominal Laparoscopy. In: Dapri, G., Marks, J. (eds) Surgical Techniques in Rectal Cancer. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55579-7_28

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  • DOI: https://doi.org/10.1007/978-4-431-55579-7_28

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55578-0

  • Online ISBN: 978-4-431-55579-7

  • eBook Packages: MedicineMedicine (R0)

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