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Transanal Total Mesorectal Excision (TME) with mechanical side-to-end coloanal anastomosis in a female patient

J Leroy, MD, FRCS D Ntourakis, MD, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2013;13(02). URL: http://websurg.com/doi/vd01en3903

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  • 2013-02-14
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The authors demonstrate how to perform a transanal total mesorectal excision using the TEO® device (Karl Storz) as well as a hemorrhoid stapler in a stepwise manner. This pure transanal approach was performed because of a suspicion of a T2 lesion on a large villous rectal tumor at 10/12 cm from the anal verge. The originality of the technique is shown with exceptional quality views during the posterior and lateral mobilization of the root of the sigmoid mesocolon. A mechanical side-to-end pure transanal coloanal anastomosis is also perfectly shown.