Caycedo-Marulanda A, Patel S, Merchant S, Brown C. Introduction of new techniques and technologies in surgery: Where is transanal total mesorectal excision today? World J Gastrointest Surg 2020; 12(5): 203-207 [PMID: 32551026 DOI: 10.4240/wjgs.v12.i5.203]
Corresponding Author of This Article
Antonio Caycedo-Marulanda, FACS, FRCS, MD, MSc, Associate Professor, Department of General Surgery, Queen's University, Kingston General Hospital, 76 Stuart Street, Kingston K7L 2V7, Ontario, Canada. Antonio.Caycedo@Kingstonhsc.ca
Research Domain of This Article
Surgery
Article-Type of This Article
Opinion Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2020; 12(5): 203-207 Published online May 27, 2020. doi: 10.4240/wjgs.v12.i5.203
Introduction of new techniques and technologies in surgery: Where is transanal total mesorectal excision today?
Antonio Caycedo-Marulanda, Sunil Patel, Shaila Merchant, Carl Brown
Antonio Caycedo-Marulanda, Sunil Patel, Shaila Merchant, Department of surgery, Queen’s University and Kingston General Hospital, Kingston K7L 2V7, Ontario, Canada
Carl Brown, Department of Surgery, University of British Columbia and St. Paul Hospital, Vancouver V6Z 1Y6, British Columbia, Canada
Author contributions: Caycedo-Marulanda A designed the project; Caycedo-Marulanda A, Patel S, Merchant S and Brown C performed the research, wrote and approved the manuscript.
Conflict-of-interest statement: The authors declare no conflict of interests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Antonio Caycedo-Marulanda, FACS, FRCS, MD, MSc, Associate Professor, Department of General Surgery, Queen's University, Kingston General Hospital, 76 Stuart Street, Kingston K7L 2V7, Ontario, Canada. Antonio.Caycedo@Kingstonhsc.ca
Received: December 24, 2019 Peer-review started: December 24, 2020 First decision: April 2, 2020 Revised: April 14, 2020 Accepted: May 12, 2020 Article in press: May 12, 2020 Published online: May 27, 2020 Processing time: 154 Days and 13.4 Hours
Core Tip
Core tip: The introduction of new surgical techniques and technologies has traditionally been unregulated. In many settings surgeons frequently adopt novel procedures without following a structured program of implementation or supervision. According to the Idea, Development, Exploration, Assessment, Long-term study framework, transanal total mesorectal excision (taTME) is in the phase of exploration, where there is an existing and increasing number of reports being published as the experience grows. In addition, there are prospective collaborative studies including registries, audits and databases. This experience leads into the phase of assessment, at this point randomized controlled trials such as the Multicenter Phase II Study of Transanal TME (UStaTME trial), the Transanal vs Laparoscopic TME (COLORIII trial), French Research Group of Rectal Cancer Surgery and others are actively recruiting patients
