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Surgical Research and New Technique ›› 2023, Vol. 12 ›› Issue (1): 1-5.doi: 10.3969/j.issn.2095-378X.2023.01.001

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Ten-year review and prospect of transanal total mesorectal excision for rectal cancer

WEI Pengyu, LI Yang, GAO Jiale, YAO Hongwei, ZHANG Zhongtao   

  1. Department of General Surgery, Beijing Friendship Hospital of Capital Medical University, National Clinical Research Center for Digestive Diseases, Clinical Practice and Research Center for Colorectal Neoplasm of Capital Medical University, Beijing 100050, China
  • Received:2023-02-23 Published:2023-05-26

Abstract: Rectal cancer is one of the most common malignant tumors of the gastrointestinal tract. Surgery-centered multidisciplinary therapy is still the main strategy for the treatment of rectal cancer. In China, low-to-mid rectal cancer accounts for the majority. In recent years, transanal total mesorectal excision (taTME) has become a hot area of surgery for low-to-mid rectal cancer. Since it was first reported in 2010, taTME has undergone about 10 years of development, and a standardized theoretical and practical system has been gradually formed as a result of the continuous technical progress of this procedure. Meanwhile, the continuous advancement of domestic and international research and the iterative launch of expert consensus and guidelines have provided scientific evidence for the safety and efficacy of this procedure. In the future, it is expected that research centers in China will carry out more extensive structured training and clinical trials to obtain high-level evidence-based clinical research results of taTME, and form more mature clinical practice guidelines to carry out this technique in a safer and more standardized manner, in the hope of bringing benefits to more rectal cancer patients.

Key words: Rectal cancer, Transanal total mesorectal excision, Structured training, Clinical research

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