title: Combined laparoscopic and transanal total mesorectal excision for rectal cancer: Initial experience and early results.
abstract: BACKGROUND
  Incomplete specimens resulting in residual mesorectum in the patient and an increased risk of local recurrence remains a problem. We have introduced transanal-total mesorectal excision (Ta-TME) in our department to potentially overcome this problem due to more direct access to the lower pelvis in patients undergoing TME for rectal cancer and this article presents our initial experience with the new procedure.
  
  
  METHODS
  Patients with a T1-T3 mid or low rectal cancer eligible for TME or intersphincteric abdominoperineal excision were selected for a combined transanal and transabdominal laparoscopic resection. The primary aim of the study was to evaluate the feasibility and efficacy of the method with a special focus on the quality of the specimen.
  
  
  RESULTS
  During a 9-month period, 11 patients were operated with this technique. All procedures resulted in complete or nearly complete specimen. We did, however, find the procedure technically demanding and experienced several complications with three anastomotic leaks (all with preserved intestinal continuity) and a urethral lesion.
  
  
  CONCLUSIONS
  Ta-TME is feasible and might be the answer to obtaining good quality specimens and overcome some of the technical difficulties that can be encountered in the obese narrow male pelvis. The procedure however is technically demanding.
authors.affiliation: Department of Surgery, Colorectal Cancer Unit, Roskilde Hospital, Køgevej 7-13, DK-4000 Roskilde, Denmark.
authors.forename: Morten Holt
authors.initials: MH
authors.lastname: Thomsen
authors.affiliation: Department of Surgery, Colorectal Cancer Unit, Roskilde Hospital, Køgevej 7-13, DK-4000 Roskilde, Denmark.
authors.forename: Henrik
authors.initials: H
authors.lastname: Ovesen
authors.affiliation: Department of Surgery, Colorectal Cancer Unit, Roskilde Hospital, Køgevej 7-13, DK-4000 Roskilde, Denmark.
authors.forename: Jens Ravn
authors.initials: JR
authors.lastname: Eriksen