Introduction of new techniques and technologies in surgery: Where is transanal total mesorectal excision today?
Autor: | Sunil V. Patel, Antonio Caycedo-Marulanda, Shaila Merchant, Carl J. Brown |
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Rok vydání: | 2019 |
Předmět: |
Opinion Review
medicine.medical_specialty Surgical approach business.industry Total mesorectal excision Surgery Transanal surgery 03 medical and health sciences 0302 clinical medicine Current management 030220 oncology & carcinogenesis Invasive surgery Medicine 030211 gastroenterology & hepatology Rectal cancer Safety business Innovation New technology |
Zdroj: | World Journal of Gastrointestinal Surgery |
ISSN: | 1948-9366 |
Popis: | The introduction of new surgical techniques and technologies has traditionally been unregulated. In many settings surgeons frequently adopt novel procedures without following a structured program of implementation or supervision. The appearance of innovative technology played a pivotal role in the advancement of new surgical techniques during the industrial revolution. Innovation has been an essential component of surgical development, which led to contemporary surgical techniques such as minimally invasive surgery. Different initiatives have been developed to guide the safe introduction of new surgical techniques and other procedures. Those include comprehensive concepts such as the Idea, Development, Exploration, Assessment, Long-term study framework, which could be particularly relevant when reflecting on the novel transanal total mesorectal excision (taTME), introduced a decade ago. This relatively novel and complex procedure promised to overcome some of the major limitations of traditional surgical approaches for rectal cancer. According to the Idea, Development, Exploration, Assessment, Long-term study framework, taTME is in the phase of exploration, where there is an existing and increasing number of reports being published as the experience grows. The current management of rectal cancer is in a state of radical evolution, with multiple options that were not previously available. TaTME is only one technique amongst many which could be part of a rectal cancer surgeon's armamentarium; however, it requires further rigorous study and evaluation. |
Databáze: | OpenAIRE |
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