Comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer

Background: Transanal Total Mesorectal Excision (TaTME) presented in recent years as a novel technique to achieve better outcome in circumferential margin (CRM) and distal margin (DRM) in lower rectal cancer operation. The current study aimed to assess the perioperative and pathological characterist...

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Autores principales:	Seyed Vahid Hosseini, Leila Ghahramani, Seyed Farhad Tayari, Alireza Izadi, Razieh Sadat Mousavi-Roknabadi, Zahra Beizavi
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2020
Materias:	cancer rectum laparoscopy colorectal surgery Medicine R
Acceso en línea:	https://doaj.org/article/dbaa1207a625420485d75a5a2fa41c80
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spelling	oai:doaj.org-article:dbaa1207a625420485d75a5a2fa41c802021-11-14T08:12:23ZComparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer2783-243010.30476/acrr.2021.88825.1072https://doaj.org/article/dbaa1207a625420485d75a5a2fa41c802020-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47235_641391d04a4dd6f97294373bf8704043.pdfhttps://doaj.org/toc/2783-2430Background: Transanal Total Mesorectal Excision (TaTME) presented in recent years as a novel technique to achieve better outcome in circumferential margin (CRM) and distal margin (DRM) in lower rectal cancer operation. The current study aimed to assess the perioperative and pathological characteristics of TaTME in comparison with laparoscopic total mesorectal excision (LaTME) in patients with mid- and low-rectal cancer. Methods: From January 2016 to December 2018, we enrolled all consecutive patients with rectal cancer, who underwent TaTME and LaTME. Primary endpoints like circumferential rectal margin (CRM) status, distal rectal margin (DRM) status, and pathological outcomes, as well as secondary endpoints including perioperative outcomes (total blood loss, duration of hospitalization, anastomosis leakage, as well as 30-day mortality) were evaluated and compared statistically (α=0.05). Results: 11 patients with distal rectal adenocarcinoma which was biopsy-proven, underwent TaTME, and 19 patients operated on using LaTME. Both groups were similar in the baseline characteristics. Also, the perioperative outcomes were similar in both groups. Regarding pathological outcomes, no patients with CRM Conclusion: TaTME is a reasonable procedure in patients with low rectal cancer. But no remarkable superiority was observed in this method compared to laparoscopy with respect to the pathological outcomes.Seyed Vahid HosseiniLeila GhahramaniSeyed Farhad TayariAlireza IzadiRazieh Sadat Mousavi-RoknabadiZahra BeizaviShiraz University of Medical Sciencesarticlecancerrectumlaparoscopycolorectal surgeryMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 4, Pp 181-186 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cancer rectum laparoscopy colorectal surgery Medicine R
spellingShingle	cancer rectum laparoscopy colorectal surgery Medicine R Seyed Vahid Hosseini Leila Ghahramani Seyed Farhad Tayari Alireza Izadi Razieh Sadat Mousavi-Roknabadi Zahra Beizavi Comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer
description	Background: Transanal Total Mesorectal Excision (TaTME) presented in recent years as a novel technique to achieve better outcome in circumferential margin (CRM) and distal margin (DRM) in lower rectal cancer operation. The current study aimed to assess the perioperative and pathological characteristics of TaTME in comparison with laparoscopic total mesorectal excision (LaTME) in patients with mid- and low-rectal cancer. Methods: From January 2016 to December 2018, we enrolled all consecutive patients with rectal cancer, who underwent TaTME and LaTME. Primary endpoints like circumferential rectal margin (CRM) status, distal rectal margin (DRM) status, and pathological outcomes, as well as secondary endpoints including perioperative outcomes (total blood loss, duration of hospitalization, anastomosis leakage, as well as 30-day mortality) were evaluated and compared statistically (α=0.05). Results: 11 patients with distal rectal adenocarcinoma which was biopsy-proven, underwent TaTME, and 19 patients operated on using LaTME. Both groups were similar in the baseline characteristics. Also, the perioperative outcomes were similar in both groups. Regarding pathological outcomes, no patients with CRM Conclusion: TaTME is a reasonable procedure in patients with low rectal cancer. But no remarkable superiority was observed in this method compared to laparoscopy with respect to the pathological outcomes.
format	article
author	Seyed Vahid Hosseini Leila Ghahramani Seyed Farhad Tayari Alireza Izadi Razieh Sadat Mousavi-Roknabadi Zahra Beizavi
author_facet	Seyed Vahid Hosseini Leila Ghahramani Seyed Farhad Tayari Alireza Izadi Razieh Sadat Mousavi-Roknabadi Zahra Beizavi
author_sort	Seyed Vahid Hosseini
title	Comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer
title_short	Comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer
title_full	Comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer
title_fullStr	Comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer
title_full_unstemmed	Comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer
title_sort	comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer
publisher	Shiraz University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/dbaa1207a625420485d75a5a2fa41c80
work_keys_str_mv	AT seyedvahidhosseini comparisonoftransanalversuslaparoscopictotalmesorectalexcisioninlowrectalcancer AT leilaghahramani comparisonoftransanalversuslaparoscopictotalmesorectalexcisioninlowrectalcancer AT seyedfarhadtayari comparisonoftransanalversuslaparoscopictotalmesorectalexcisioninlowrectalcancer AT alirezaizadi comparisonoftransanalversuslaparoscopictotalmesorectalexcisioninlowrectalcancer AT raziehsadatmousaviroknabadi comparisonoftransanalversuslaparoscopictotalmesorectalexcisioninlowrectalcancer AT zahrabeizavi comparisonoftransanalversuslaparoscopictotalmesorectalexcisioninlowrectalcancer
_version_	1718429806965555200

Comparison of transanal versus laparoscopic total mesorectal excision in low rectal cancer

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