Liang Kang. the sixth affiliated hospital of Sun Yat-sen University
Methods: A questionnaire survey was conducted in 71 large medical centers in 23 provinces of China. The survey included the time to launch taTME, the number of taTME cases completed, the occurrence of complications and the difficulties encountered at present.
Results: A total of 71 units completed the questionnaires, of which 2/3 units have begun to carry out taTME, a total of 915 taTME cases were counted, of which 211 completed the most cases, 10 units completed more than 30 cases (14.1%). The total complication rate was 138 (15%). Among them, anastomotic leakage was found in 75 cases (8.2%), urinary retention in 21 cases (2.3%), fecal incontinence and anastomotic stenosis in 8 cases (0.9%) and urethral injury in 6 cases (0.6%). Other complications included intestinal obstruction in 5 cases, anastomotic bleeding in 4 cases, diffuse peritonitis in 3 cases, vaginal injury in 2 cases, ureteral injury in 1 case. Surveys of technical difficulty showed that 50% of the surgeons thought lateral dissociation was more difficult, 43% thought anterior dissociation was more difficult, and 35% thought purse suture was more difficult. Analysis of the factors affecting the development of taTME showed that 70.4% of the surgeons believed that there was a lack of professional equipment, 35% of the surgeons believed that the anatomical structure was unclear, 29% of the surgeons believed that the transanal operation was inexperienced and they were not confident to carry out it for the time being.
Conclusion: At present, the development of taTME in China is still in its infancy, and there are still many technical problems to be solved. The lack of professional instruments and equipment is the main problem for this operation.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94469
Program Number: P300
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster
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