Review of transanal total mesorectal excision in the treatment of rectal cancer

YU Da-jun

doi:10.16766/j.cnki.issn.1674-4152.002019

Volume 19 Issue 7

Jul. 2021

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Article Navigation > Chinese Journal of General Practice > 2021 > 19(7): 1196-1198, 1205

YU Da-jun. Review of transanal total mesorectal excision in the treatment of rectal cancer[J]. Chinese Journal of General Practice, 2021, 19(7): 1196-1198, 1205. doi: 10.16766/j.cnki.issn.1674-4152.002019

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YU Da-jun. Review of transanal total mesorectal excision in the treatment of rectal cancer[J]. Chinese Journal of General Practice, 2021, 19(7): 1196-1198, 1205. doi: 10.16766/j.cnki.issn.1674-4152.002019

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Review of transanal total mesorectal excision in the treatment of rectal cancer

doi: 10.16766/j.cnki.issn.1674-4152.002019

YU Da-jun

Department of Surgical Oncology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

KJ2019A0387

Received Date: 2020-10-11
Available Online: 2022-02-16

Abstract

Abstract

For a long time, colorectal surgeons have been continuously exploring the treatment of rectal cancer and improving the quality of life of patients and the therapeutic effect of rectal cancer. Low and median rectal cancer is common in Chinese patients. The current surgical operations used in the treatment of low and median rectal cancer include transanal total mesorectal excision (TaTME), ISR, Miles, APR, Hartmann, Parks, ELAPE and Dixon. Different surgical procedures are used in rectal cancer with different symptoms. For low rectal cancer patients with "difficult pelvis" such as huge tumor, mesangial hypertrophy and pelvic stenosis, TaTME can accurately locate the margin of the lesion, internal sphincter space in the anal canal and middle and low rectal membrane space. It can effectively reduce the risk of surgical complications, control the recurrence rate and improve the survival rate, which has been favoured and recognised by colorectal surgeons. However, TaTME requires doctors to have sufficient experience in laparoscopic and transanal surgery and is limited by the current development of laparoscopic equipment and instruments. In this paper, the developmental origin, application, advantages and disadvantages of TaTME and its future prospects are reviewed to provide some theoretical basis and empirical evidence for this research and practice.
- Rectal cancer,
- Transanal total mesorectal excision,
- Review

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References(40)

References

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Review of transanal total mesorectal excision in the treatment of rectal cancer

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