Tech Coloproctol (2017) 21:581–582 DOI 10.1007/s10151-017-1629-5 VIDEO FORUM Transanal total mesorectal excision with intersphincteric resection and use of ﬂuorescent angiography and a lighted urethral stent for distal rectal cancer 1 1 1 1 • • • A. Mabardy L. Lee A. P. Valpato S. Atallah Received: 24 February 2017 / Accepted: 17 March 2017 / Published online: 22 May 2017 Springer International Publishing AG 2017 Transanal total mesorectal excision (taTME) has emerged decided to proceed directly to surgery. Informed consent as a minimally invasive technique for curative-intent was obtained from the patient. resection of rectal cancer . In particular, using the This video vignette details the complete (abdominal and transanal minimally invasive surgery (TAMIS) technique transanal) approach to taTME with ISR and the utilization , the ability to properly approach the distal mesorectal of (a) indocyanine green (ICG) ﬂuorescent angiography to plane and achieve an oncologically adequate resection is assess perfusion and (b) a lighted, ﬂuorescent urethral stent often enhanced. However, there are important areas in as described previously . This includes the perseveration which the taTME technique could introduce procedure- of the transverse and descending colon mesentery as one speciﬁc morbidity , especially injury to the male urethra
Techniques in Coloproctology – Springer Journals
Published: May 22, 2017
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