Abstract
transanal access platforms in colorectal surgery: from local resection to total mesorectal excision Transanal access platforms have been an important contribution since their creation over 30 years ago, yielding high quality, full-thickness rectal resections in more proximal locations, with excellent visibility compared to classical transanal excision and some endoscopic techniques, in both benign and malignant lesions. Laparoscopic surgery has contributed to the emergence of new platforms that integrate conventional laparoscopic instruments into transanal resections reporting good initial results. These platforms are the present and future of natural orifice transluminal endoscopic surgery (nOTES). In this review we discuss about the different available platforms, their indications and results.
Highlights
Transanal access platforms have been an important contribution since their creation over 30 years
with excellent visibility compared to classical transanal excision
Laparoscopic surgery has contributed to the emergence of new platforms that integrate conventional laparoscopic instruments
Summary
Transanal access platforms have been an important contribution since their creation over 30 years ago, yielding high quality, full-thickness rectal resections in more proximal locations, with excellent visibility compared to classical transanal excision and some endoscopic techniques, in both benign and malignant lesions. Desde hace algunas décadas, la resección local transanal (RTA) del cáncer de recto ha cautivado el interés de los cirujanos con el afán de evitar la RTM y su morbilidad asociada, sin comprometer el pronóstico oncológico en casos estrictamente seleccionados.
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