Transanal total mesorectal excision for restorative coloproctectomy in an obese high-risk patient with colitis-associated carcinoma. Issue 3 (4th May 2017)

• Record Type: Journal Article
• Authors: Hanke, Laura Isabel; Bartsch, Fabian; Försch, Sebastian; Heid, Florian; Lang, Hauke; Kneist, Werner
• Is Part Of: Minimally invasive therapy & allied technologies. Volume 26:Issue 3(2017)
• Page Start: 188
• Page End: 191
• Publication Date: 2017-05-04
• Subjects: Ulcerative colitis–associated carcinoma -- transanal minimally invasive surgery -- transanal total mesorectal excision -- minimally invasive surgery -- total mesorectal excision; Endoscopy -- Periodicals; Interventional radiology -- Periodicals; Endoscopic surgery -- Periodicals; 617.05
• DOI: 10.1080/13645706.2016.1264426
• Languages: English
• ISSNs: 1364-5706

Abstract

Abstract: Transanal total mesorectal excision (TaTME) offers great potential for the treatment of malign and benign diseases. However, laparoscopic-assisted TaTME in ulcerative colitis has not been described in more than a handful of patients. We present a 47-year-old highly comorbid female patient with an ulcerative colitis–associated carcinoma of the ascending colon and steroid- refractory pancolitis. A two-stage restorative coloproctectomy including right-sided complete mesocolic excision was conducted. The second step consisted of a successful nerve-sparing TaTME and a handsewn ileal pouch–anal anastomosis. TaTME may extend the possible treatment options in inflammatory bowel disease, especially for high-risk patients.