Transanal Total Mesorectal Excision for Rectal Cancer: A Training Pathway



Presented by Elisabeth C McLemore, MD at the SAGES 2014 Meeting; Panel – Concurrent Session SS15 Colorectal

Elisabeth C McLemore, MD, Cristina R Harnsberger, MD, Patricia Sylla, MD, Ryan C Broderick, MD, Alberto S Gallo, MD, Martin A Berducci, MD, Alisa M Coker, MD, Moneer Almadani, MD, Hans F Fuchs, MD, Garth R Jacobsen, MD, Santiago Horgan, MD; UNIVERSITY OF CALIFORNIA, SAN DIEGO

Points of interest:
benefits of transanal TME–16 sec
surgical background–38 sec
published clinical cases–51 sec (add these links:

Keyword(s): 5 mm port site, a pilot study of natural orifice transanal endoscopic total mesorectal excision with laparoscopic assistance for rectal cancer., abdominal team, abdominal view completion, ACE, anterior dissection, anterior peritoneal entry, anterior rectum, anterior surface of specimen, appropriate training, ASA, benign disease, biopsy confirmed, CABG, cadaveric dissection, cadaveric training lab, cadeveric training, case series report, chemoradiation, China, circumferential mucosal incision, clinic, clinical application, coloanal anastomosis, colon mobilization, colonic mobilization, Crohns disease, debrief, decreased operative time, demonstrate safety, dentate line, descending colon, disease, distal colon, distal rectum, distal transection margin, diversion, diverting loop ileostomy, divided proximally, DRE, dual operative team, Europe, evaluation management, final pathology, first clinical case, grading, hand sewn coloanal anastomosis, hemorrhoids, high ligation of IMA, HPI, HTN, identification, ileostomy reversal, IMA pedicle, improved visibility, IMV ligation, insufflation, intact specimen, IRB approved, laparoscopic assistance, lateral dissections, lateral pelvic nerve bundles, linear stapler device, LLQ, low coloanal anastomosis, male patient, marked, meds, mesorectal envelope, moderately differentiated adenocarcinoma, multicenter clinical trials, negative margins, neoadjuvant therapy, new approach, NOTES, NOTES transanal rectal cancer resection using TEM, obesity, oncologic outcomes, OR nursing staff, pathology, pelvic clearance, pelvic drain, pelvis, peritoneal entry, Phase I clincal trial, plan of care, plane of dissection, PMH, positive lymph nodes, posterior dissection, posterior mass, posterior surface of specimen, preserve, preventing bowel spillage, primary transanal approach, process flow improvement, proctectomy, proctitis, prostate, proximal, PSH, published clinical cases, questions, radiation, rectal bleeding, rectal cancer, rectal pelvic dissection, rectal pursestring suture, rectum, referred, sacral prominatory, seminal vesicles, shorter distance rectal access, sigmoid colon, simultaneous mesorectal dissection, single port access proctectomy with TME and ISR, specimen, splenic flexure mobilization, stage IIIa, statin, suggestions, surgical background, suspicious lymphadenopathy on MRI, systemic chemotherapy, T2 vs T3N0Mx, team, TES practice, TME dissection, total laparoscopic sigmoid and rectal surgery in combination with transanal endoscopic microsurgery, totally transrectal endoscopic TME, training pathway, transabdominal approach, transanal endoscopic proctectomy and nerve injury risk, transanal endoscopic proctectomy: an innovative procedure for difficult resection of rectal tumors in men with narrow pelvis., transanal endoscopic surgical proctectomy, transanal endoscopic total mesorectal excision combined with single-port laparoscopy, transanal natural orifice transluminal endoscopic surgery (NOTES) rectal resection, transanal resection using a single port trocar, transanal SILS TME, transanal single-port laparoscopic total mesorectal excision, transanal specimen extraction, transanal TME, transanal total mesorectal excision, tumor bed, UC, under visualization, United States, ureters, US, work-u[, working space, ypT3N1b

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