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©The Author(s) 2015.
World J Gastroenterol. Nov 7, 2015; 21(41): 11700-11708
Published online Nov 7, 2015. doi: 10.3748/wjg.v21.i41.11700
Published online Nov 7, 2015. doi: 10.3748/wjg.v21.i41.11700
Table 1 Transanal total mesorectal excision and peri-operative outcomes (case series with n≥ 5)
Ref. | Number of patients | ORT | Conversion rate | Complications rate | LOS | Comment |
Marks et al[25], 2010 | 79 | NA | 2.5% | 29.9% | 5 | TATA approach |
Tuech et al[22], 2015 | 56 | 270 | 7.3% | 26% | 10 | - |
Han et al[39], 2013 | 34 | 151.6 | 0 | 6 leaks | 9 | 13 with low rectal tumors, 15 with upper rectal tumors and 6 with sigmoid tumors. |
Rouanet et al[21], 2013 | 30 | 304 | 7% | Intraop: 10% | 14 | Difficult patients (male, high BMI, CRM threatened…) |
Postop: 30% | ||||||
Muratore et al[20], 2015 | 26 | 241 | NA | 26.9% | NA | - |
Atallah et al[17], 2014 | 20 | 243 | NA | 65% | 4.5 | - |
Buchs et al[44], 2015 | 20 | 315.3 | 15% | 30% | 7 | 3 benign cases |
de Lacy et al[18], 2013 | 20 | 234 | 0 | 20% | 6.5 | No readmission |
Chouillard et al[29], 2014 | 16 | 265 | 6.25% | 18.8% | 10.4% | - |
Wolthuis et al[43], 2014 | 14 | 148 | 18% | 42.9% | 8.8 | No readmission |
Knol et al[40], 2015 | 10 | 235 | 0 | 10% | 6 | - |
Velthuis et al[42], 2013 | 5 | 175 | 0 | 40% | NA | - |
Sylla et al[41], 2013 | 5 | 274.6 | 0 | 60% | 5.2 |
Table 2 Transanal total mesorectal excision and pathological outcomes (case series with n≥ 5)
Ref. | TME quality | Positive CRM | Distal margins | LN |
Marks et al[25] | NA | 6.3% | 1.9 cm | 11.4 |
Tuech et al[22] | 84% intact and 16% nearly intact | 5.4% | 1 cm | 12 |
Han et al[39] | NA | 0% | 2.43 | 12.9 |
Rouanet et al[21] | 100% good | 13.3% | 0.9 cm | 13 |
Muratore et al[20] | 88.5% complete | 0% | 1.9 cm | 10 |
Atallah et al[17] | 89.5% complete or nearly complete | 5% | 5% positive | 22.5 |
Buchs et al[44] | 94.1% intact and 5.9% nearly intact | 5.9% | 2.14 cm | 23.2 |
De Lacy et al[18] | 100% satisfactory | 0% | 2.6 cm | 15.9 |
Chouillard et al[29] | 100% intact | 0% | 3.6 cm | 21 |
Wolthuis et al[43] | NA | NA | NA | NA |
Knol et al[40] | 90% intact | 0% | 1.94 cm | 10.5 |
Velthuis et al[42] | 100% intact | 0% | 0 positive | 12 |
Sylla et al[41] | 100% intact | 0% | 0 positive | 33 |
Table 3 Comparative studies and peri-operative outcomes
Table 4 Comparative studies and pathological outcomes
Table 5 Robotic transanal total mesorectal excision
Ref. | Number of patients | ORT | Complications | LOS | Comments |
Huscher et al[51], 2015 | 7 | 165.7 | 1 rectal bleeding, requiring blood transfusion | 4.8 | Negative margins, 6 complete and one nearly complete TME |
Gomez Ruiz et al[50], 2015 | 5 | 398 | 1 anastomotic leak | 6 | Negative margins, complete TME |
Atallah et al[48], 2014 | 3 | 376 | Pulmonary embolism, stoma high output | 4.3 | All complete or nearly complete TME. Negative margins |
Atallah et al[49], 2013 | 1 | 381 | 0 | 3 | Negative margins, nearly complete TME |
Verheijen et al[52], 2014 | 1 | 205 | 0 | 3 | Negative margins, complete TME |
- Citation: Buchs NC, Nicholson GA, Ris F, Mortensen NJ, Hompes R. Transanal total mesorectal excision: A valid option for rectal cancer? World J Gastroenterol 2015; 21(41): 11700-11708
- URL: https://www.wjgnet.com/1007-9327/full/v21/i41/11700.htm
- DOI: https://dx.doi.org/10.3748/wjg.v21.i41.11700