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      Transanal Total Mesorectal Excision for Rectal Cancer: Outcomes after 140 Patients.

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          Abstract

          The anatomic difficulties that we have to deal with in open surgery for rectal cancer have not been overcome with the laparoscopic approach. In the search for a solution, a change of concept arose: approaching the rectum from below. The main objectives of this study were to show the potential advantages of the hybrid transabdominal-transanal total mesorectal excision (taTME). This approach may improve quality of the mesorectal specimens. Second, proctectomy can be technically easier and more safely performed "down to up," which would result in shorter surgical times, lower conversion rates, and less morbidity.

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          Author and article information

          Journal
          J. Am. Coll. Surg.
          Journal of the American College of Surgeons
          1879-1190
          1072-7515
          Aug 2015
          : 221
          : 2
          Affiliations
          [1 ] Department of Gastrointestinal Surgery, Institute of Digestive and Metabolic Diseases (ICMDM), Hospital Clinic, IDIBAPS, Biomedical Research Center (CIBERehd), Esther Koplowitz Center, University of Barcelona, Barcelona, Spain. Electronic address: alacy@clinic.ub.es.
          [2 ] Department of Gastrointestinal Surgery, Institute of Digestive and Metabolic Diseases (ICMDM), Hospital Clinic, IDIBAPS, Biomedical Research Center (CIBERehd), Esther Koplowitz Center, University of Barcelona, Barcelona, Spain.
          [3 ] Department of Gastroenterology, Institute of Digestive and Metabolic Diseases (ICMDM), Hospital Clinic, IDIBAPS, Biomedical Research Center (CIBERehd), Esther Koplowitz Center, University of Barcelona, Barcelona, Spain.
          [4 ] Department of Surgery, Cleveland Clinic Florida, Weston, FL.
          [5 ] Pelican Cancer Foundation, Basingstoke, UK.
          Article
          S1072-7515(15)00251-3
          10.1016/j.jamcollsurg.2015.03.046
          26206640
          Copyright © 2015 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

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