Total endoluminal excision of rectum (transanal total mesorectal excision) [taTME]
This is another example of a NOTES (natural orifice transluminal endoscopic surgery) procedure which is being done for rectal cancers.
As you can see in the image, an air tight anal device is used to provide transanal insufflation and access for laparoscopic instruments. Dissection proceeds using a ‘bottom up’ approach.
Very important update for the upcoming mid year exams.