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Dr. Shaimaa Kamal Abd El-wahab :: Publications:

Title:
Transanal Total Mesorectal Excision for Treatment of Carcinoma in the Middle or Lower Third Rectum: The Technical Feasibility of the Procedure, Pathological results, and Clinical Outcome
Authors: Ashraf M. Abdelkader 1,2 &Ahmed M. Zidan 1 &Mohamed T. Younis 1 &Shaimaa K. Dawa
Year: 2018
Keywords: CA rectum. Transanal.TME.Pathological outcome
Journal: Indian Journal of Surgical Oncology
Volume: 9
Issue: 4
Pages: 442–451
Publisher: springer
Local/International: International
Paper Link: Not Available
Full paper Shaimaa Kamal Abd El-wahab_PUBLISHED000 CA RECTUM.pdf
Supplementary materials Not Available
Abstract:

We are trying to illustrate operative, short-term, and pathological outcomes of transanal total mesorectal excision (TaTME) as a surgical procedure for patients who are suffering cancer in the lower ormiddle rectum. This study included 25 consecutive patients who underwent TaTME for the mid and low cancer rectum. The primary outcome measures included frequency of postoperative (PO) bleeding, leakage, ileus, days to regain bowel function, days for Foley’s removal, and erectile function. The secondary outcome measures included operation time, status of resection margins, number, the quality of TME, and duration PO hospital stay. No recorded intraoperative complications. The mean hospital stay was 6.9 ± 2.6 days. The mean duration need for urinary catheter removal and flatus passage were 2.4 ± 2.1 and 1.5 + 0.9 days, respectively. The mean IPSS was returned to normal 12 months after surgery. The mean distal margin distance was 1.9 ± 1.1. Circumferential margin distance was > 1 mm in 23 (92%) patients. The mesorectum was complete in 22 (88%) patients. The survival rate was 88% over 3 years. TaTME could be considered as a safe, feasible, and effective surgical modality for patients who had mid and lowerrectal tumors with an excellent pathological outcome

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