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Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note

BACKGROUND: The safe adoption of transanal total mesorectal excision (taTME) has occurred in Australasia as previously reported by the current authors. Planes beyond TME can be utilised in more advanced cases to achieve negative margins during transanal dissection. METHODS: In this article we descri...

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Autores principales: Larach, José Tomás, Waters, Peadar S., McCormick, Jacob J., Heriot, Alexander G., Smart, Philip J., Warrier, Satish K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338998/
https://www.ncbi.nlm.nih.gov/pubmed/32629220
http://dx.doi.org/10.1016/j.ijscr.2020.06.015
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author Larach, José Tomás
Waters, Peadar S.
McCormick, Jacob J.
Heriot, Alexander G.
Smart, Philip J.
Warrier, Satish K.
author_facet Larach, José Tomás
Waters, Peadar S.
McCormick, Jacob J.
Heriot, Alexander G.
Smart, Philip J.
Warrier, Satish K.
author_sort Larach, José Tomás
collection PubMed
description BACKGROUND: The safe adoption of transanal total mesorectal excision (taTME) has occurred in Australasia as previously reported by the current authors. Planes beyond TME can be utilised in more advanced cases to achieve negative margins during transanal dissection. METHODS: In this article we describe how taTME is used to perform an en-bloc partial vaginectomy and aid restore intestinal and vaginal continuity in a young female with a locally advanced rectal cancer and posterior vaginal wall involvement in the pre-treatment magnetic resonance imaging. RESULTS: The transanal technique allowed the surgeons to remove a disc of vagina, ensure organ preservation and control the main R1 risk point. An R0 resection was achieved. CONCLUSION: This technical note highlights that in experienced hands, taTME may be safely implemented to maintain restorative options in locally advanced rectal cancer requiring resection beyond the total mesorectal excision plane.
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spelling pubmed-73389982020-07-14 Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note Larach, José Tomás Waters, Peadar S. McCormick, Jacob J. Heriot, Alexander G. Smart, Philip J. Warrier, Satish K. Int J Surg Case Rep Article BACKGROUND: The safe adoption of transanal total mesorectal excision (taTME) has occurred in Australasia as previously reported by the current authors. Planes beyond TME can be utilised in more advanced cases to achieve negative margins during transanal dissection. METHODS: In this article we describe how taTME is used to perform an en-bloc partial vaginectomy and aid restore intestinal and vaginal continuity in a young female with a locally advanced rectal cancer and posterior vaginal wall involvement in the pre-treatment magnetic resonance imaging. RESULTS: The transanal technique allowed the surgeons to remove a disc of vagina, ensure organ preservation and control the main R1 risk point. An R0 resection was achieved. CONCLUSION: This technical note highlights that in experienced hands, taTME may be safely implemented to maintain restorative options in locally advanced rectal cancer requiring resection beyond the total mesorectal excision plane. Elsevier 2020-06-12 /pmc/articles/PMC7338998/ /pubmed/32629220 http://dx.doi.org/10.1016/j.ijscr.2020.06.015 Text en © 2020 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Larach, José Tomás
Waters, Peadar S.
McCormick, Jacob J.
Heriot, Alexander G.
Smart, Philip J.
Warrier, Satish K.
Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note
title Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note
title_full Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note
title_fullStr Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note
title_full_unstemmed Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note
title_short Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note
title_sort using tatme to maintain restorative options in locally advanced rectal cancer: a technical note
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338998/
https://www.ncbi.nlm.nih.gov/pubmed/32629220
http://dx.doi.org/10.1016/j.ijscr.2020.06.015
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