Article
Gastroenterology & Hepatology
F. Tirelli, L. Lorenzon, A. Biondi, I. Neri, G. Santoro, R. Persiani
Summary: This study aimed to investigate anorectal functional results after rectal cancer surgery. Patients were interviewed and assessed using validated questionnaires, and statistical analyses were performed to identify variables correlated with worse outcomes. An algorithm based on clinical/operative variables was developed to identify categories at risk for anorectal dysfunction.
TECHNIQUES IN COLOPROCTOLOGY
(2023)
Article
Surgery
Ivy H. Gardner, Katherine A. Kelley, Walaa F. Abdelmoaty, Ahmed Sharata, Amanda V. Hayman, Mark H. Whiteford
Summary: This study retrospectively analyzed 44 patients with mid and low rectal cancer who underwent low anterior resection via taTME. The results showed that 91% of TME specimens were graded as complete or near complete, with a post-operative complication rate of 18.2% and a local recurrence rate of 4.5%. This indicates that using the taTME approach can yield comparably safe and effective outcomes to laparoscopic proctectomy in technically complex cases.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Jacopo Martellucci, Riccardo Balestri, Luigi Brusciano, Veronica Iacopini, Marco Puccini, Ludovico Docimo, Fabio Cianchi, Piero Buccianti, Paolo Prosperi
Summary: The aim of this study was to evaluate the impact of diverting stomas on clinical and functional outcomes after TME for rectal cancer, comparing the effects of ileostomy and colostomy. The study found that the presence of a temporary stoma has a negative impact on bowel function, especially in cases of delayed closure for ileostomy. Therefore, this factor should be considered when selecting the type of stoma.
COLORECTAL DISEASE
(2023)
Article
Surgery
Gaia Masini, Elisa Bertocchi, Giuliano Barugola, Massimo Guerriero, Giacomo Ruffo
Summary: This study aimed to describe the incidence and change over time of sexual, urinary, and intestinal dysfunction in a single-center cohort, identifying independent predictors of dysfunction. The results showed that sexual dysfunction occurred in 37% of patients at 1 month, while urinary dysfunction occurred in 34% of males. Improvement was observed in urogenital function between 1 and 6 months, but there was no significant improvement in intestinal function between 1 and 12 months.
UPDATES IN SURGERY
(2023)
Article
Oncology
E. H. A. Pieniowski, C. Nordenvall, A. Johar, G. Palmer, S. Tumlin Ekelund, P. Lagergren, M. Abraham-Nordling
Summary: This study investigates the association between a defunctioning stoma and long-term bowel function in rectal cancer surgery. The presence of a defunctioning stoma is found to be associated with impaired bowel function in the long-term perspective, while the time to stoma reversal does not show a clear association with bowel function.
Article
Oncology
Jingwang Ye, Yue Tian, Fan Li, Stefan van Oostendorp, Yiming Chai, Jurriaan Tuynman, Weidong Tong
Summary: This study compared the clinicopathological and mid-term oncological outcomes of TaTME and LaTME for mid and low rectal cancer. The results showed no significant differences in postoperative complications and survival rates between the two groups, indicating that TaTME is a feasible and safe alternative to laparoscopic surgery in a high volume center.
Article
Oncology
Severin Gloor, Gioia Pozza, Rebekka Troller, Markus Wehrli, Michel Adamina
Summary: A study of 165 patients with distal rectal cancer who underwent taTME found that this procedure is a viable alternative to conventional TME, with high surgical quality and favorable outcomes.
Article
Gastroenterology & Hepatology
Martino Munini, Sotirios Georgios Popeskou, Ken Galetti, Raffaello Roesel, Francesco Mongelli, Dimitri Christoforidis
Summary: This study compared the outcomes of transanal total mesorectal excision (TaTME) and laparoscopic total mesorectal excision (LapTME) in patients with distal rectal tumors. The results showed that TaTME was associated with a lower conversion to open surgery rate, while having similar post-operative outcomes and similar rates of local recurrence and 3-year survival compared to LapTME.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Gastroenterology & Hepatology
Mads Falk Klein, Michael Seiersen, Orhan Bulut, Flemming Bech-Knudsen, Jens Erik Jansen, Ismail Gogenur
Summary: The aim of this study was to evaluate the short-term surgical and oncological outcomes after transanal total mesorectal excision (TaTME) for rectal cancer during the implementation phase of this procedure in Denmark. The results showed that the level of surgical complications was comparable to previous nationwide results, and the rate of local recurrences was low.
COLORECTAL DISEASE
(2021)
Article
Surgery
Masayuki Ando, Takeru Matsuda, Ryuichiro Sawada, Hiroshi Hasegawa, Kimihiro Yamashita, Hitoshi Harada, Naoki Urakawa, Hironobu Goto, Shingo Kanaji, Taro Oshikiri, Yoshihiro Kakeji
Summary: This study evaluated the safety and feasibility of hybrid robotic surgery with transanal total mesorectal excision (TaTME) for low rectal cancer. The results showed that hybrid TaTME was comparable to conventional TaTME in terms of operation time and postoperative hospital stay, as well as other intra- and post-operative outcomes. Therefore, hybrid TaTME can be considered a feasible and safe option for low rectal cancer surgery.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
Article
Medicine, General & Internal
Edoardo Maria Muttillo, Alice La Franca, Alessandro Coppola, Francesco Saverio Li Causi, Marzia Checchelani, Alice Ceccacci, Giorgio Castagnola, Giovanni Maria Garbarino, Mattia Falchetto Osti, Genoveffa Balducci, Paolo Mercantini
Summary: This study aimed to evaluate the incidence of LARS and identify potential risk factors. The study found that tumor distance from anal verge and tumor extension were important independent predictive factors for LARS. Adjuvant therapy and time to stoma closure were also associated with the incidence of LARS.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Pere Planellas, Lidia Cornejo, Anna Pigem, Nuria Gomez-Romeu, David Julia-Bergkvist, Nuria Ortega, Jose Ignacio Rodriguez-Hermosa, Ramon Farres
Summary: This paper analyzes the learning curves of taTME and robot-assisted surgery for rectal cancer. The study found that although taTME had a higher rate of serious complications during the initial learning phase, it had a shorter learning curve compared to robot-assisted surgery, which had a relatively lower rate of serious complications.
Article
Surgery
Vicente Simo, Patricia Tejedor, Luis Miguel Jimenez, Cristina Hernan, Jaime Zorilla, Jorge Arrredondo, Fernando Lapuente, Carlos Pastor
Summary: This study evaluated the mid-term oncological impact of TaTME for treating rectal cancer and showed positive outcomes at 2 years of follow-up. However, there is a lack of evidence in the literature regarding TaTME and oncological outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Jeremy E. Springer, Catherine Beauharnais, Derek Chicarilli, Danielle Coderre, Allison Crawford, Jennifer A. Baima, Lacey J. McIntosh, Jennifer S. Davids, Paul R. Sturrock, Justin A. Maykel, Karim Alavi
Summary: This study evaluated the impact of sarcopenia on postoperative outcomes following transanal total mesorectal excision (TaTME) for rectal cancer, finding that sarcopenic patients had significantly higher rates of postoperative complications and readmission within 30 days after surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Oncology
Tian-Yu Jiang, Jun-Jun Ma, Min-Hua Zheng
Summary: Transanal total mesorectal excision (taTME) is a novel approach for radical surgery in low rectal cancer, offering benefits such as higher rate of free distal resection margins under direct visualization and better visualization of the mesorectal plane. It is becoming increasingly popular globally, with studies suggesting that taTME may yield better short- and long-term outcomes compared to laparoscopic TME.
JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Gastroenterology & Hepatology
Maya Xania Bjoern, Sarah Nielsen, Sharaf Karim Perdawood
JOURNAL OF GASTROINTESTINAL SURGERY
(2019)
Article
Gastroenterology & Hepatology
M. X. Bjoern, F. B. Clausen, M. Seiersen, O. Bulut, F. Bech-Knudsen, J. E. Jansen, I Gogenur, M. F. Klein
Summary: TaTME surgery may result in long-term anorectal dysfunction but does not significantly affect urogenital function and health-related quality of life.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2022)