An international multicentre prospective audit of elective rectal cancer surgery; operative approach versus outcome, including transanal total mesorectal excision (TaTME).
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Serval ID
serval:BIB_C9B1BD6E866A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
An international multicentre prospective audit of elective rectal cancer surgery; operative approach versus outcome, including transanal total mesorectal excision (TaTME).
Journal
Colorectal disease
Working group(s)
2017 European Society of Coloproctology (ESCP) collaborating group
Contributor(s)
Minaya-Bravo A.M., Gallo G., Glasbey J.C., Kamarajah S., Pinkney T., El-Hussuna A., Battersby N.J., Buchs N.C., Buskens C., Chaudri S., Frasson M., Glasbey J., Morton D., Negoi I., Nepogodiev D., Pata F., Sánchez-Guillén L., Singh B., Zmora O., Perry R., Magill L., Altomare D., Bemelman W., Brown S., Denost Q., Knowles C., Laurberg S., Lefevre J.H., Möeslein G., Pinkney T., Vaizey C., Bilali S., Bilali V., Salomon M., Cillo M., Estefania D., Patron Uriburu J., Ruiz H., Farina P., Carballo F., Guckenheimer S., Proud D., Brouwer R., Bui A., Nguyen B., Smart P., Warwick A., Theodore J.E., Herbst F., Birsan T., Dauser B., Ghaffari S., Hartig N., Stift A., Argeny S., Unger L., Strouhal R., Heuberger A., Varabei A., Lahodzich N., Makhmudov A., Selniahina L., Feryn T., Leupe T., Maes L., Reynvoet E., Van Langenhove K., Nachtergaele M., Monami B., Francart D., Jehaes C., Markiewicz S., Weerts J., Van Belle K., Bomans B., Cavenaile V., Nijs Y., Vertruyen M., Pletinckx P., Claeys D., Defoort B., Muysoms F., Van Cleven S., Lange C., Vindevoghel K., Wolthuis A., Todorovic M., Dabic S., Kenjic B., Lovric S., Vidovic J., Delibegovic S., Mehmedovic Z., Christiano A., Lombardi B., Marchiori M., Tercioti V., Dardanov D., Petkov P., Simonova L., Yonkov A., Zhivkov E., Maslyankov S., Pavlov V., Sokolov M., Todorov G., Stoyanov V., Batashki I., Iarumov N., Lozev I., Moshev B., Slavchev M., Atanasov B., Belev N., Krstev P., Penkov R., Šantak G., Ćosić J., Previšić A., Vukušić L., Zukanović G., Zelić M., Kršul D., Lekić Vitlov V., Mendrila D., Orhalmi J., Dusek T., Maly O., Paral J., Sotona O., Skrovina M., Bencurik V., Machackova M., Kala Z., Farkašová M., Grolich T., Procházka V., Hoch J., Kocian P., Martinek L., Antos F., Pruchova V., Ceccotti A., Madsbøll T., Straarup D., Uth Ovesen A., Christensen P., Bondeven P., Edling P., Elfeki H., Alexandrovich Gameza V., Michelsen Bach S., Zheltiakova I., Krarup P.M., Krogh A., Rolff H.C., Lykke J., Juvik A.F., Lóven HHK, Marckmann M., Osterkamp JTF, Madsen A.H., Worsøe J., Ugianskis A., Kjaer M.D., Youn Cho Lee B., Khalid A., Kristensen M.H., El Sorogy M., Elgeidie A., Elhemaly M., El Nakeeb A., Elrefai M., Shalaby M., Emile S., Omar W., Sakr A., Thabet W., Awny S., Metwally I., Refky B., Shams N., Zuhdy M., Lepistö A., Keränen I., Kivelä A., Lehtonen T., Siironen P., Rautio T., Ahonen-Siirtola M., Klintrup K., Paarnio K., Takala H., Hyöty M., Haukijärvi E., Kotaluoto S.M., Lehto K., Tomminen T., Huhtinen H., Carpelan A., Karvonen J., Rantala A., Varpe P., Cotte E., Francois Y., Glehen O., Passot G., d'Alessandro A., Chouillard E., Etienne J.C., Ghilles E., Vinson-Bonnet B., Germain A., Ayav A., Bresler L., Chevalier R., Denost Q., Didailler R., Rullier E., Tiret E., Chafai N., Lefevre J.H., Parc Y., Sielezneff I., Mege D., Lakkis Z., Barussaud M., Krones C., Bock B., Webler R., Baral J., Lang T., Münch S., Pullig F., Schön M., Hinz S., Becker T., Möller T., Richter F., Schafmayer C., Hardt J., Kienle P., Crescenti F., Ahmad M., Soleiman Y., Papaconstantinou I., Gklavas A., Nastos K., Theodosopoulos T., Vezakis A., Stamou K., Saridaki A., Xynos E., Paraskakis S., Zervakis N., Skroubis G., Amanatidis T., Germanos S., Maroulis I., Papadopoulos G., Dimitriou N., Alexandrou A., Felekouras E., Griniatsos J., Karavokyros I., Papadopoulos A., Chouliaras C., Ioannidis P., Katsounis D., Kefalou E., Katsoulis I.E., Balalis D., Korkolis D.P., Manatakis D., Tzovaras G., Baloyiannis I., Mamaloudis I., Lázár G., Ábraham S., Paszt A., Simonka Z., Tóth I., Zaránd A., Baranyai Z., Ferreira G., Harsányi L., Ónody P., Banky B., Burány Á., Lakatos M., Marton J., Solymosi A., Besznyák I., Bursics A., Papp G., Saftics G., Svastics I., Valsdottir E., Atladottir J., Jonsson T., Moller P., Sigurdsson H., Gupta S.K., Gupta S., Kaul N., Mohan S., Sharma G., Wani R., Chowdri N., Khan M., Mehraj A., Parray F.Q., Coveney A., Burke J., Deasy J., El-Masry S., McNamara D., Khan M.F., Cahill R., Faul E., Mulsow J., Shields C., Kelly M.E., Bass G., Martin S.T., O'Connell R., Ryan E., Connelly T., Ahmad G., Bukhari W., Cooke F., Zmora O., Gold Deutch R., Haim N., Lavy R., Moscovici A., Shussman N., Gefen R., Marom G., Pikarsky A., Weiss D., Avital S., Hermann N., Raguan B., Slavin M., White I., Wasserberg N., Arieli H., Gurevich N., Freund M.R., Dorot S., Edden Y., Halfteck G., Reissman P., Pery R., Tulchinsky H., Weizman A., Agresta F., Curinga R., Finotti E., Savino G., Verza L.A., Asteria C.R., Boccia L., Pascariello A., Tamini N., Bugatti A., Gianotti L., Totis M., Vincenti L., Andriola V., Giannini I., Travaglio E., Balestri R., Buccianti P., Roffi N., Rossi E., Urbani L., Mellano A., Cinquegrana A., Lauretta A., Belluco C., Mistrangelo M., Allaix M.E., Arolfo S., Morino M., Testa V., Delrio P., Pace U., Rega D., Scala D., Gallo G., Clerico G., Cornaglia S., Realis Luc A., Trompetto M., Ugolini G., Antonacci N., Fabbri S., Montroni I., Zattoni D., D'Urbano C., Cornelli A., Viti M., Inama M., Bacchion M., Casaril A., Impellizzeri H., Moretto G., Spinelli A., Carvello M., David G., Di Candido F., Sacchi M., Frontali A., Ceriani V., Molteni M., Rosati R., Aleotti F., Elmore U., Lemma M., Vignali A., Scabini S., Casoni Pattacini G., Luzzi A., Romairone E., Marino F., Lorusso D., Pezzolla F., Colombo F., Baldi C., Foschi D., Sampietro G., Sorrentino L., Di Saverio S., Birindelli A., Segalini E., Spacca D., Romano G.M., Belli A., Bianco F., De Franciscis S., Falato A., Muratore A., Marsanic P., Grimaldi S., Castaldo N., Ciolli M.G., Picarella P., Porfidia R., Tugnoli G., Bondurri A., Cavallo D., Maffioli A., Pertusati A., Pulighe F., Balestra F., De Nisco C., Podda M., Opocher E., Longhi M., Mariani N.M., Maroni N., Pisani Ceretti A., Galleano R., Aonzo P., Curletti G., Reggiani L., Marconi M., Del Prete L., Oldani M., Pappalardo R., Zaccone L S., Scatizzi M., Baraghini M., Cantafio S., Feroci F., Giani I., Tutino R., Cocorullo G., Gulotta G., Licari L., Salamone G., Sileri P., Saraceno F., La Torre F., Chirletti P., Coletta D., De Toma G., Mingoli A., Papandrea M., De Luca E., Sacco R., Sammarco G., Vescio G., Tonini V., Bianchini S., Cervellera M., Vaccari S., Cracco N., Barugola G., Bertocchi E., Rossini R., Ruffo G., Sartori A., Clemente N., De Luca M., De Luca A., Scaffidi G., Lorenzon L., Balducci G., Bocchetti T., Ferri M., Mercantini P., Pata F., Bauce S., Benevento A., Bottini C., Crapa P.R., Rubbini M., Anania G., Carcoforo P., Cavallesco G., Feo C., Yamamoto T., Sivins A., Ancans G., Gerkis S., Lunis R., Pcolkins A., Venskutonis D., Bradulskis S., Dainius E., Subocius A., Vencius J., Zeromskas P., Eismontas V., Nutautiene V., Simcikas D., Tamosiunas A., Svagzdys S., Latkauskas T., Lizdenis P., Saladzinskas Z., Tamelis A., Dulskas A., Kuliavas J., Samalavicius N.E., Poskus T., Jotautas V., Mikalauskas S., Poskus E., Strupas K., Zakaria A.D., Lah N.N., Wong M., Zain W.Z., Zakaria Z., Mazlan L., Mohd Azman Z.A., Sagap I., Psaila J., Andrejevic P., Cini C., Ellul S., Pace K., Ahallat M., Hamid M., Hrora A., Majbar M.A., Raiss M., Westerduin E., Bemelman W., Buskens C., Tanis P., van der Sluis P.C., Davids P.H., Pronk A., Schiphorst AHW, Smakman N., Zimmerman D., Koeter T., Stijns J., van Loon Y.T., Vermaas M., de Graaf E., Doornebosch P., van Hagen P., van Ruler O., Toorenvliet B., Nonner J., van den Berg I., van Steensel L., Vles W., Melenhorst J., Orsini R., Visschers R., Hoff C., Blom R., Marsman H., Mulder I., Cense H., de Castro S., Demirkiran A., Hunfeld M., van Geloven A., de Groof J., Hendriks E., Leeuwenburg M., van Oorschot N., Wit F., Rupert C., Veldman P., Keijzers M., Konsten J., Den Boer F., Corver M., Boerma E.G., Koolen L., Martens M., Van Wijck K., Ignjatovic D., Breuer R., Gurpreet B., Oresland T., Tetens Moe T., Nesbakken A., Flaaten Backe I., Wik T.A., Radiya K., Dehli T., Gjessing P., Norderval S., Woll K., Anwer M., Qureshi M.S., Qureshi A.U., Billah M., Jawad M.Y., Raza A., Urooj N., Wang X., Li L., Jajtner D., Gasinski B., Kabiesz W., Walega P., Romaniszyn M., Zawadzki M., Czarnecki R., Obuszko Z., Rzaca M., Sitarska M., Silva P., Duarte A., Gonçalves D., Morais M., Rama N., Nobre J., Sales I., Costa Pereira J., Costa S., Costa Pereira C., Insua C., Romero I., Figueiredo N., Cunha J., Domingos H., Vieira P., Cunha M., Americano M., Amorim E., Rachadell J., Carvas J.M., Armas I., Fernandes P., Pires C., Reis R., Martins R., Dos Santos M., Henriques P., Oliveira O., Duarte M., Ferreira L., Miranda J., Vilela N., Corte Real J., Carlos S., Frois Borges M., Moniz Pereira P., Simões J., Silva-Vaz P., Bettencourt V., Gouveia A., Perez H., Rainho R., Bintintan V., Ciuce C., Dindelegan G., Scurtu R., Seicean R., Cristian D., Burcos T., Grama F., Mandi D.M., Richiteanu G., Miron A., Calu V., Enciu O., Nadragea M., Parvuletu R., Mogoanta S.S., Crafciuc A., Paitici S., Negoi I., Beuran M., Ciubotaru C., Prodan A., Vartic M., Tomulescu V., Copaescu C., Yanishev A., Abelevich A., Kokobelyan A., Lebedeva M., Luzan R., Pozdnyakov A., Cherdancev D., Mahotin D., Nesytykh A., Samsonyuk V., Pravosudov I., Ivlev D., Karachun A., Lebedev K., Samsonov D., Aiupov R., Feoktistov D., Garipov M., Suleymanov N., Tarasov N., Rasulov A., Dzhumabaev H., Mamedli Z., Bedzhanyan A., Popov D., Sednev A., Klimenko A., Semenov A., Vasilyev S., Khazov A., Khanevich M., Khrykov G., Katorkin S., Andreev P., Chernov A., Davidova O., Zhuravlev A., Achkasov S., Shakhmatov D., Shelygin Y., Sushkov O., Vardanyan A., Ilkanich A., Barbashinov N., Darvin V., Onishchenko S., Voronin Y., Krivokapić Z., Barišić G., Dimitrijević I., Marković V., Sekulić A., Stanojevic G., Brankovic B., Nestorovic M., Pecic V., Petrovic D., Kostic I., Aleksic A., Dabic D., Maric B., Perunicic V., Radovanovic Z., Djuric M., Lukic D., Radovanovic D., Cuk V., Juloski J., Kenic M., Krdzic I., Ngu J.C., Ng Y.Y., Teo N., Korcek J., Lazorisak A., Rems M., Ramovš Trampuš Š., Tomazic A., Grosek J., Kosir J., Norcic G., Vigorita V., Caceres N., Casal E., Ruano A., Trostchansky I., Golda T., Galvez Saldaña A., Kreisler Moreno E., Lopez Dominguez J., Vila Tura M., Labarga F., Galvez P., Maderuelo V., Suero C., Bargallo J., Cayetano L., Lamas S., Silva M.C., Bernal-Sprekelsen J.C., Gómez R., Jareño S., Ríos A., Vercher D., García-González J.M., Cervera-Aldama J., Ramos-Prada J., Santamaría-Olabarrieta M., Borda N., Enrriquez-Navascués J.M., Saralegui Y., Calero-Lillo A., Aznar-Puig S., López-Lara M.A., Muñoz-Collado S., Valverde-Sintas J., Menendez P., Leon C., Truan N., Baldonedo R., Fernández-Martínez D., Otero J., Solar-García L., Turrado-Rodriguez V., de Lacy Oliver F., Lacy Fortuny A.M., Martin Perez B., Otero Piñeiro A.M., Paredes J., Fernandez F., Ladra M.J., Paulos A., Prieto D., Beltrán de Heredia J.P., Blanco Antona F., de Andrés Asenjo B., Ferreras García C., Romero de Diego A., Cordoba Diaz de Laspra E., Echazarreta Gallego E., Elia Guedea M., Escola D., Martinez S., Primo Romaguera V., Parreño R., Pastor L., Rosell E., Lozoya Trujillo R., Alós Company R., Ruiz Carmona M.D., Solana Bueno A., Salvans Ruiz S., Alonso Gonçalves S., Jiménez-Toscano M., Pascual Damieta M., Pera Roman M., Pellicer-Franco E.M., Garcia-Marin J.A., Mengual-Ballester M., Soria-Aledo V., Valero-Navarro G., Vicente-Ruiz M., Garcia-Zamora C., Gonzalez-Gil A., Montoya-Tabares M.J., Paredes-Quiles M., Die Trill J., Abadia P., Moreno I., Pina J.D., Ramos Rubio D., Escartin J., Blas J.L., Fernando J., Ferrer R., Garcia Egea J., Pros I., Martinez W., Rius J., Socías M., Sabia D., Castellvi Valls J., Gonzalez Santin V., Mompart Garcia S., Viso Pons L., Julià D., Codina-Cazador A., Farrés R., Gómez N., Planellas P., Cuadrado M., Camps I., Rufas M., Escoll J., Fermiñán A., Muriel P., Sierra E., Alvarez-Laso C., Lora P., Padin H., Garcia-Septiem J., Bustamante C., Jimenez V., Jimenez-Miramon J., Ramos J.L., Gallardo A.B., Benito P., Colao L., Galindo P., Garcia C., Forero-Torres A., Alonso Poza A., Dieguez Fernandez B., Gilsanz Martin C., Hernandez Garcia M., Rojo López J.A., Gil López J.M., González Zunzárren M., Martínez Alegre J., Zorrilla Matilla L.P., Navarro-Sánchez A., Alcalá Serrano F.J., López-Fernández J., Montesdeoca Cabrera D., Alvarez-Gallego M., Guevara J., Pascual Miguelañez I., Rubio-Perez I., Gomez Ruiz M., Alonso Martín J., Cagigas Fernández C., Castillo Diego J., Pando J.A., Maristany C., Muñoz-Duyos A., Rada-Palomino A., Vargas-Pierola H., Peña Ros E., Benavides Buleje J.A., Muñoz Camarena J.M., Parra Baños P.A., Ramirez Faraco M., Arenal J.J., Citores M.A., Marcos J.L., Sánchez J., Tinoco C., García Flórez L.J., Arias Pacheco R.D., Mínguez Ruiz G., Gutiérrez Corral N., Rodríguez Infante A., Carrillo López M.J., Carrasco Prats M.M., Lage Laredo A., Martínez Manzano Á., Rodríguez García P., Segura-Sampedro J.J., Alonso-Hernández N., Fernandez Isart M., Gamundi Cuesta M., Ochogavia Segui A., Ibañez N., Abrisqueta J., Lujan J., Gómez Pérez R., Corrales Valero E., Monje Salazar C., Sanchiz Cardenas E., Soler Humanes R., Jimenez-Rodriguez R.M., De la Portilla F., Diaz Pavon J.M., Garcia Cabrera A.M., Reyes Diaz M.L., Espin E., Marinello F., Martí M., Sanchez J.L., Vallribera F., Orts Mico F.J., Ortin Navarro M., Perez Climent M., Serra Diaz C., Millan M., Caro A., Escuder J., Espina B., Feliu F., Climent Aira A., Estévez Diz A., Moreno Asencio M.T., Varela Mato A., Vázquez Bouzán R., Minaya-Bravo A.M., Diez-Alonso M.M., Villeta-Plaza R., Guadalajara H., Alías D., García Olmo D., Pastor C., Valverde I., Sanchez Romero A., Gardea A., Gil Santos M., Nimmersgern T., Serrano Paz P., Romero-Simó M., Blasco-Segura T., Caravaca-García I., Costa-Navarro D., Zarco-Pleguezuelos A., Sánchez-Guillén L., Flor-Lorente B., Frasson M., García-Granero Á., García-Granero E., Arencibia B., Alonso J., Febles G., Nogués E.M., Roque C., Segelman J., Nygren J., Nestler G., Abraham-Nordling M., Egenvall M., Myrelid P., Jung B., Loftås P., Lydrup M.L., Azahr N., Buchwald P., Mangell P., Syk I., Nikberg M., Carlander J., Chabok A., Smedh K., Tiselius C., Haapaniemi S., Benckert A., Adamina M., Freil-Lanter C., Gingert C., Müller P., Schäfli J., Regusci L., Brenna M., Fasolini F., Misteli H., Kirchhoff P., Oertli D., Hahnloser D., Clerc D., Hübner M., Ris F., Buchs N.C., Chevallay M., Morel P., Schiltz B., Wang J.Y., Su W.C., Huang C.W., Ma C.J., Tsai H.L., Bugra D., Agalar F., Baloglu H., Basoglu I., Okkabaz N., Binboga E., Biricik A., Celik A., Yavuz E., Canda A.E., Agalar C., Fuzun M., Sokmen S., Terzi C., Isik A., Karip B., Bilgili A.C., Leventoğlu S., Aytac B., Küçükdiler E., Yıldız A., Yuksel O., Sinan H., Hancerliogullari O., Kaymak S., Kozak O., Ozer M.T., Sarici I.S., Akca O., Kalayci M.U., Kara Y., Agcaoglu O., Balik E., Bayram O., Özbalcı G.S., Özkan B.B., Karabacak U., Sungurtekin U., Ozgen U., Demirbas S., Öztürk E., Isik O., Yilmazlar T., Colak E., Karagul S., Kinas V., Fearnhead N., Lord I., Stewart P., Zammit M., Arnold S., Battersby N.J., Broadhurst J., Moran S., Seretis F., Shabbir J., Jones C., Kynaston J., Vimalachandran D., Blower E., McFaul C., McWhirter D., Pilkington J., Wilson T., Chowdhary M., Stubbs B., Abdalkoddus M., Lai C., Thavanesan N., Yao C., Agarwal T., Dindyal S., Hill RMC, Reade S., Slesser A., Paterson H., Balfour A., Boland M., Geraghty A., O'Kelly J., Patel P., Tezas S., Yahia S., Jadhav V., Marimuthu K., Narayanan A., Piramanayagam B., Bradley N., Buchanan F., Paul K., Singh J., Thomson K., Korsgen S., Bedford M., Lee K., Leong K., McArthur D., Bhangu A., Malik S., Mohamed I., Cunha P., Pilavas A., Reddy A., Ahmed S., Ahmed A., Voll J., Velchuru V., Lal R., Mirshekar-Syahkal B., Kassai M., Aleem M., Keogh-Bootland S., Sarmah P., Brown S., Keegan R., Kelkar A., Sen P., Oliveira-Cunha M., Chaudhri S., Fares R., Singh B., Thomas W.M., Aslam M.I., Boyle K., Hemingway D., Miller A., Norwood M., Gurjar S., Al-Saeedi M., Anandan L., Sudlow A., Zampitis N., Malik K., Bogdan M., Smart C., Iqbal M.R., Bailey S., Lawes D., Omar G., Tamhane R., Evans M., Ather S., Lim J., Nageswaran H., Taylor G., Hunt L., Nicholls J., Shaikh I., Muscara F., O'Brien J., Photi E., Stearns A., Meylemans D., Cunningham C., Hompes R., Tennakoon A., Kumarasinghe N., Rao M., Upanishad I., Khan J., Ahmad N., Shweejawee Z., Stefan S., Smart N., Daniels I., Gregoir T., Longstaff L., McDermott F., Varcada M., Drami I., Gala T., Moggia E., Ratnatunga K., Harries R., Hayes J., Williams G., Raymond T., Bronder C., Davies E., Hawkin P., Ryska O., Ayral K., Beveridge A., Bhowmik A., Gill M., Simpson R., Schofield A., McArdle K., Parmar M., Williamson M., Burton H., Courtney E., Grant C., Saracino A., Newton K., Epstein J., Branagan G., Bignell M., Symankewicz M., Zaman S., Mankotia R., Siddiqui Z., Torrance A., Artioukh D., Eggleston M., Gokul K., Selwyn D., Warusavitarne J., Chandrasinghe P., Grainger J., Leo C.A., Vaizey C.J., Harris G., Levy B., Skull A., Thaha M., Garg A., Patel H., Ramsanahie A., Mondragon-Pritchard M., Cuinas Leon K., Shukla A., Brewer H., Fitzgerald J., Kho H., Torkington J., Tate S., Wheat J., Smolarek S., Platt E., Rossi B., Tham J.C., Knight J., Richardson J., Tzivanakis A., Gregori M., Ashraf M.A., Atif M., Santos J., Saffaf N., Canning L., Chandratreya N., Bowen M., Graham B., Hamad Y., Kaubrys M., Chaudhry Z.U., Bhan C., Mukhtar H., Oshowo A., Wilson J., Gouvas N., Nicol D., Pandey S., Zilvetti M., Sharma A., Fatayer T., Mothe S., Rahman M., Curtis N., Allison A., Dalton R., Francis N., Ockrim J., Psaras G., Dudarovaska H., Marharint T., Mostovoy E., Voloshin S., Kolesnik O., Makhmudov D., Altinel Y., Iqbal A., Cunningham L., Go K., Tan S.
ISSN
1463-1318 (Electronic)
ISSN-L
1462-8910
Publication state
Published
Issued date
09/2018
Peer-reviewed
Oui
Volume
20
Number
Suppl 6
Pages
33-46
Language
english
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Publication Status: ppublish
Abstract
Transanal total mesorectal excision (TaTME) has rapidly emerged as a novel approach for rectal cancer surgery. Safety profiles are still emerging and more comparative data is urgently needed. This study aimed to compare indications and short-term outcomes of TaTME, open, laparoscopic, and robotic TME internationally.
A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients undergoing elective total mesorectal excision (TME) for malignancy between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak.
Of 2579 included patients, 76.2% (1966/2579) underwent TME with restorative anastomosis of which 19.9% (312/1966) had a minimally invasive approach (laparoscopic or robotic) which included a transanal component (TaTME). Overall, 9.0% (175/1951, 15 missing outcome data) of patients suffered an anastomotic leak. On univariate analysis both laparoscopic TaTME (OR 1.61, 1.02-2.48, P = 0.04) and robotic TaTME (OR 3.05, 1.10-7.34, P = 0.02) were associated with a higher risk of anastomotic leak than non-transanal laparoscopic TME. However this association was lost in the mixed-effects model controlling for patient and disease factors (OR 1.23, 0.77-1.97, P = 0.39 and OR 2.11, 0.79-5.62, P = 0.14 respectively), whilst low rectal anastomosis (OR 2.72, 1.55-4.77, P < 0.001) and male gender (OR 2.29, 1.52-3.44, P < 0.001) remained strongly associated. The overall positive circumferential margin resection rate was 4.0%, which varied between operative approaches: laparoscopic 3.2%, transanal 3.8%, open 4.7%, robotic 1%.
This contemporaneous international snapshot shows that uptake of the TaTME approach is widespread and is associated with surgically and pathologically acceptable results.
A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients undergoing elective total mesorectal excision (TME) for malignancy between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak.
Of 2579 included patients, 76.2% (1966/2579) underwent TME with restorative anastomosis of which 19.9% (312/1966) had a minimally invasive approach (laparoscopic or robotic) which included a transanal component (TaTME). Overall, 9.0% (175/1951, 15 missing outcome data) of patients suffered an anastomotic leak. On univariate analysis both laparoscopic TaTME (OR 1.61, 1.02-2.48, P = 0.04) and robotic TaTME (OR 3.05, 1.10-7.34, P = 0.02) were associated with a higher risk of anastomotic leak than non-transanal laparoscopic TME. However this association was lost in the mixed-effects model controlling for patient and disease factors (OR 1.23, 0.77-1.97, P = 0.39 and OR 2.11, 0.79-5.62, P = 0.14 respectively), whilst low rectal anastomosis (OR 2.72, 1.55-4.77, P < 0.001) and male gender (OR 2.29, 1.52-3.44, P < 0.001) remained strongly associated. The overall positive circumferential margin resection rate was 4.0%, which varied between operative approaches: laparoscopic 3.2%, transanal 3.8%, open 4.7%, robotic 1%.
This contemporaneous international snapshot shows that uptake of the TaTME approach is widespread and is associated with surgically and pathologically acceptable results.
Keywords
Aged, Elective Surgical Procedures/methods, Elective Surgical Procedures/statistics & numerical data, Female, Humans, Laparoscopy/methods, Laparoscopy/statistics & numerical data, Male, Margins of Excision, Medical Audit, Middle Aged, Operative Time, Postoperative Complications/etiology, Proctectomy/methods, Proctectomy/statistics & numerical data, Prospective Studies, Rectal Neoplasms/surgery, Rectum/surgery, Robotic Surgical Procedures/methods, Robotic Surgical Procedures/statistics & numerical data, Transanal Endoscopic Surgery/methods, Transanal Endoscopic Surgery/statistics & numerical data, Treatment Outcome, TME, Rectal cancer, TaTME, laparoscopic surgery, robotic surgery, transanal TME
Pubmed
Web of science
Open Access
Yes
Create date
26/09/2023 14:23
Last modification date
27/09/2023 5:59