Combined transanal total mesorectal excision (taTME) with laparoscopic instruments and abdominal robotic surgery in rectal cancer

Bravo, Raquel; Trépanier, Jean-Sébastien; Arroyave, María Clara; Fernández-Hevia, María; Pigazzi, Alessio; Lacy, Antonio M.

doi:10.1007/s10151-017-1597-9

Cited by 18 publications

(12 citation statements)

References 11 publications

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“…Two teams reported hybrid procedures with robotic-assistance during the abdominal phase combined with a conventional TaTME[ 45 , 46 ]. Both reported similar outcomes to those obtained with R-TaTME.…”

Section: Technological Backgroundmentioning

confidence: 99%

Robotic transanal total mesorectal excision: Is the future now?

Sebastián-Tomás¹,

Martínez-Pérez²,

Martínez-López³

et al. 2021

WJGS

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Total mesorectal excision (TME) is the standard surgical treatment for the curative radical resection of rectal cancers. Minimally invasive TME has been gaining ground favored by the continuous technological advancements. New procedures, such as transanal TME (TaTME), have been introduced to overcome some technical limitations, especially in low rectal tumors, obese patients, and/or narrow pelvis. The earliest TaTME reports showed promising results when compared with the conventional laparoscopic TME. However, recent publications raised concerns regarding the high rates of anastomotic leaks or local recurrences observed in national series. Robotic TaTME (R-TaTME) has been proposed as a novel technique incorporating the potential benefits of a perineal dissection together with precise control of the distal margins, and also offers all those advantages provided by the robotic technology in terms of improved precision and dexterity. Encouraging short-term results have been reported for R-TaTME, but further studies are needed to assess the real role of the new technique in the long-term oncological or functional outcomes. The present review aims to provide a general overview of R-TaTME by analyzing the body of the available literature, with a special focus on the potential benefits, harms, and future perspectives for this novel approach.

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Section: Technological Backgroundmentioning

confidence: 99%

Robotic transanal total mesorectal excision: Is the future now?

Sebastián-Tomás¹,

Martínez-Pérez²,

Martínez-López³

et al. 2021

WJGS

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show abstract

“…[20][21][22][23] We believe we can perform the rectal dissection combining TaTME and robotic surgery. 24 The surgery is performed with two teams working concurrently (►Fig. 10).…”

Section: Combined Transanal Total Mesorectal Excision and Robotic Surgerymentioning

confidence: 99%

TaTME: Present and Future Perspectives?

Otero-Piñeiro

Bravo

Lacy

2021

Digestive Disease Interventions

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Transanal total mesorectal excision (TaTME) is a new procedure developed to overcome the specific difficulties posed by rectal surgery, especially in narrow pelvis, male, and obese patients, and can be used in benign and malignant pathologies. The advantages are especially important in rectal cancer, as they could potentially result in a more precise distal dissection, lower rate of positive circumferential resection margins, and increase the rate of sphincter-sparing procedures. The indications for TaTME are currently expanding, despite not yet being standardized. Training programs are increasing day by day, to improve the learning curve related to this difficult technique. The procedure is feasible and safe with similar intraoperative complications and readmission rates compared with open/laparoscopic approach. Oncological results have shown that TaTME is associated with better quality mesorectal excision and safer distal resection margin. In this work, we review the evolution of TaTME, surgical technique, development, applicability, current situation, and implementation, as well as future perspectives for colorectal cancer and other pathologies. While satisfactory short-term results have been reported, it is a new technique, and long-term results and definitive results from controlled trials are pending. As evidence of safety and feasibility accumulates, training programs structured to standardize teaching, training, and safe expansion will aid the safe spread of TaTME.

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“…Cohort studies have shown the feasibility of this new technique and 1,2 improved total mesorectal excision (TME) specimen quality, potentially minimizing surgical morbidities. [9][10][11][12][13] GelPOINT Path Transanal Access Platform (Applied Medical, Rancho Santa Margarita, CA, USA) is currently the commonly-used adjunct because of its flexibility and air-sealing quality during transanal dissection. 7,8 of The TaTME technique has been applied in conjunction with various traditional procedures to achieve maximal benefits to patients.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 of The TaTME technique has been applied in conjunction with various traditional procedures to achieve maximal benefits to patients. [9][10][11][12][13] GelPOINT Path Transanal Access Platform (Applied Medical, Rancho Santa Margarita, CA, USA) is currently the commonly-used adjunct because of its flexibility and air-sealing quality during transanal dissection. However, it is difficult to establish stable imaging and results in extra costs to the health-care system because of the costly single-use consumables.…”

Section: Introductionmentioning

confidence: 99%

“…With the procedure being standardized in a step‐by‐step manner, it potentially improves the functional outcome of rectal resections . of The TaTME technique has been applied in conjunction with various traditional procedures to achieve maximal benefits to patients . GelPOINT Path Transanal Access Platform (Applied Medical, Rancho Santa Margarita, CA, USA) is currently the commonly‐used adjunct because of its flexibility and air‐sealing quality during transanal dissection.…”

Section: Introductionmentioning

confidence: 99%

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