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Using taTME to maintain restorative options in locally advanced rectal cancer: A technical note.
Larach, José Tomás; Waters, Peadar S; McCormick, Jacob J; Heriot, Alexander G; Smart, Philip J; Warrier, Satish K.
Afiliação
  • Larach JT; Division of Cancer Surgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Australia; Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Waters PS; Division of Cancer Surgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Australia.
  • McCormick JJ; Division of Cancer Surgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Australia; General Surgery and Gastrointestinal Clinical Institute, Epworth Healthcare, Melbourne, Australia.
  • Heriot AG; Division of Cancer Surgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Australia; University of Melbourne, Melbourne, Australia; General Surgery and Gastrointestinal Clinical Institute, Epworth Healthcare, Melbourne, Australia.
  • Smart PJ; University of Melbourne, Melbourne, Australia; Department of Surgery, Austin Health, Melbourne, Australia.
  • Warrier SK; Division of Cancer Surgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Australia; University of Melbourne, Melbourne, Australia. Electronic address: satish96101@yahoo.com.
Int J Surg Case Rep ; 73: 39-43, 2020.
Article em En | MEDLINE | ID: mdl-32629220
BACKGROUND: The safe adoption of transanal total mesorectal excision (taTME) has occurred in Australasia as previously reported by the current authors. Planes beyond TME can be utilised in more advanced cases to achieve negative margins during transanal dissection. METHODS: In this article we describe how taTME is used to perform an en-bloc partial vaginectomy and aid restore intestinal and vaginal continuity in a young female with a locally advanced rectal cancer and posterior vaginal wall involvement in the pre-treatment magnetic resonance imaging. RESULTS: The transanal technique allowed the surgeons to remove a disc of vagina, ensure organ preservation and control the main R1 risk point. An R0 resection was achieved. CONCLUSION: This technical note highlights that in experienced hands, taTME may be safely implemented to maintain restorative options in locally advanced rectal cancer requiring resection beyond the total mesorectal excision plane.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int J Surg Case Rep Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Chile País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int J Surg Case Rep Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Chile País de publicação: Holanda