Stable pneumorectum using an inline glove – a cost‐effective technique to facilitate transanal total mesorectal excision

Loong, Tse Han; Liu, H. M.; Fong, Sau Shung

doi:10.1111/codi.14097

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…The transanal approach is performed through a very a narrow operative field causing unstable perirectal pressure called "bel- lowing". Although the use of a pressure-sensitive insufflator such as the AirSeal system is recommended for prevention of bellowing and for smoke evacuation from a surgical field, several effective methods have been reported even without such a costly device 17) .…”

Section: Operative Devices (Setup)mentioning

confidence: 99%

Transanal TME: new standard or fad?

Hasegawa

Yoshida

Morimoto

et al. 2019

J Anus Rectum Colon

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Transanal total mesorectal excision (taTME) has been developed to overcome the difficulty of laparoscopic dissection and transection in the deep pelvis. TaTME has several clinical benefits over laparoscopic surgery, such as better exposure of the distal rectum and direct determination of distal resection margin. Although evidence demonstrating the true benefits of taTME over laparoscopic TME (LapTME) is still insufficient, accumulating data have revealed that, as compared with LapTME, taTME is associated with shorter operative time and a lower conversion rate without jeopardizing other short-term outcomes. However, taTME is a technically demanding procedure with specific complications such as urethral injury, and so sufficient experience of LapTME and step-by-step acquisition of the skills needed for this procedure are requisite. The role of transanal endoscopic surgery is expected to change, along with the recent progress in the treatment of rectal cancer, such as robotic surgery and the watch-and-wait strategy. Optimization of treatment will be needed in the future in terms not only of oncological but also of functional outcomes.

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Section: Operative Devices (Setup)mentioning

confidence: 99%