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• W2180062855 abstract "Abstract Aim Laparoscopic total mesorectal excision (La TME ) has improved short‐term outcomes of rectal cancer surgery with comparable oncological results to open approach. La TME can be difficult in the lowermost part of the rectum, leading potentially to higher rates of complications, conversion to open surgery and probably suboptimal oncological quality. Transanal TME (Ta TME ) can potentially solve these problems. The aim of this study was to compare the short‐term results after Ta TME with those after La TME . Method A prospectively collected database of consecutive patients who underwent Ta TME was maintained. Results were compared with those who underwent La TME in the preceding period. Patients who underwent low anterior resection or intersphincteric abdominoperineal excision were included. Primary end‐points were radical resection and specimen quality. Secondary end‐points were complications, rates of conversion, operating time and hospital stay. Results In total, 50 patients were included (Ta TME = 25, La TME = 25). The groups were comparative in demographic data and tumour characteristics. Circumferential resection margin was positive in one patient in the Ta TME group vs four patients in the La TME group ( P = 0.349). All patients in the Ta TME group had either complete or nearly complete specimen quality, while four patients in the La TME group had incomplete specimen quality ( P = 0.113). Less blood loss, shorter operating time and shorter hospital stay were found in the Ta TME group ( P values 0.016, 0.002 and 0.020 respectively). Intra‐operative complications were comparable ( P = 0.286). Conclusion The Ta TME procedure had comparable pathological results and acceptable short‐term postoperative outcomes compared to La TME ." @default.
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• W2180062855 date "2016-01-01" @default.
• W2180062855 modified "2023-09-25" @default.
• W2180062855 title "Transanal<i>vs</i>laparoscopic total mesorectal excision for rectal cancer: initial experience from Denmark" @default.
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• W2180062855 doi "https://doi.org/10.1111/codi.13225" @default.
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