Review Article

Transanal total mesorectal excision (TaTME): tips and tricks of a new surgical technique

Elisa Cassinotti, Giorgio Palazzini, Massimiliano Della Porta, Ilaria Grosso, Luigi Boni


Laparoscopic total mesorectal excision (TME) can be technically challenging especially in obese and patients with narrow pelvis. Transanal TME (TaTME) is a technique that combines abdominal and transanal endoscopic approach to overcome limitations and facilitate standard laparoscopic TME. The authors present some specific tips and tricks to perform this complex procedure using a double team approach and a new reusable transanal port.