Charlotte Gudbrand, Jørn H Pachler and Orhan Bulut*
Department of Surgical Gastroenterology, University of Copenhagen, DenmarkFulltext PDF
Transanal TME (TaTME) is worldwide gaining acceptance due to obvious advantages: Better visualization of surgical planes, better preservation of anal anatomy and urogenital function. From 2013 and until now we performed 40 TaTME and in 3 cases TaTME was performed as completion surgery after Transanal local surgery, TEM/TEO. With this Short Report we present the 3 patients with regard to perioperative data and short term outcome. All data were collected prospectively and analysed retrospectively, collecting data from hospital files. Three patients underwent TaTME after TEM due to positive resection margins. All three patients had only a temporary ileostomy, and none suffered from severe complications. Pathological report confirmed in all three cases correct surgical mesorectal planes. We demonstrate that salvation TaTME after TEM is possible but patient sample is very small and we should hesitate to recommend the procedure in all similar cases until further investigations on this field is published.
Rectal cancer; Completion proctectomy; TEM; Salvage surgery; Transanal total mesorectal excision
Gudbrand C, Pachler JH, Bulut O. Transanal Completion TME as Early Salvage Surgery after TEM in Rectal Cancer - A Short Report. Clin Surg. 2018; 3: 2259.