title: Four anastomotic techniques following transanal total mesorectal excision (TaTME).
abstract: Transanal total mesorectal excision (TaTME) is a novel approach pioneered to tackle the challenges posed by difficult pelvic dissections in rectal cancer and the restrictions in angulation of currently available laparoscopic staplers. To date, four techniques can be employed in order to create the colorectal/coloanal anastomosis following TaTME. We present a technical note describing these techniques and discuss the risks and benefits of each.
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, University Hospitals of Oxford, Old Road, Oxford, OX3 7LE, UK. m.penna@doctors.org.uk.
authors.forename: M
authors.initials: M
authors.lastname: Penna
authors.affiliation: Department of Colorectal Surgery, Jessa Hospital, Hasselt, Belgium.
authors.forename: J J
authors.initials: JJ
authors.lastname: Knol
authors.affiliation: Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
authors.forename: J B
authors.initials: JB
authors.lastname: Tuynman
authors.affiliation: Department of Colorectal Surgery, Royal Marsden Hospital, London, UK.
authors.forename: P P
authors.initials: PP
authors.lastname: Tekkis
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, University Hospitals of Oxford, Old Road, Oxford, OX3 7LE, UK.
authors.forename: N J
authors.initials: NJ
authors.lastname: Mortensen
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, University Hospitals of Oxford, Old Road, Oxford, OX3 7LE, UK. roelhompes@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Hompes
mesh_terms: D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004210:Dissection / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery
keywords: Anastomosis; Bottom-up; Laparoscopy; Outcomes; TME; Transanal