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Title: Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note.
Austin Authors: Larach, José Tomás;Waters, Peadar S;McCormick, Jacob J;Heriot, Alexander G;Smart, Philip J;Warrier, Satish K
Affiliation: University of Melbourne, Melbourne, Australia
General Surgery and Gastrointestinal Clinical Institute, Epworth Healthcare, Melbourne, Australia
Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile..
Division of Cancer Surgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Australia
University of Melbourne, Melbourne, Australia
Department of Surgery, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 12-Jun-2020
Date: 2020-06-12
Publication information: International journal of surgery case reports 2020; 73: 39-43
Abstract: The safe adoption of transanal total mesorectal excision (taTME) has occurred in Australasia as previously reported by the current authors. Planes beyond TME can be utilised in more advanced cases to achieve negative margins during transanal dissection. In this article we describe how taTME is used to perform an en-bloc partial vaginectomy and aid restore intestinal and vaginal continuity in a young female with a locally advanced rectal cancer and posterior vaginal wall involvement in the pre-treatment magnetic resonance imaging. The transanal technique allowed the surgeons to remove a disc of vagina, ensure organ preservation and control the main R1 risk point. An R0 resection was achieved. This technical note highlights that in experienced hands, taTME may be safely implemented to maintain restorative options in locally advanced rectal cancer requiring resection beyond the total mesorectal excision plane.
DOI: 10.1016/j.ijscr.2020.06.015
Journal: International journal of surgery case reports
PubMed URL: 32629220
ISSN: 2210-2612
Type: Journal Article
Subjects: En-bloc vaginal wall resection
Extended resection
R0 resection
Rectal cancer
Transanal total mesorectal excision
Appears in Collections:Journal articles

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