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Clin Colon Rectal Surg 2021; 34(03): 163-171
DOI: 10.1055/s-0040-1718682
Review Article

Education and Training in Transanal Endoscopic Surgery and Transanal Total Mesorectal Excision

Deborah S. Keller
1   Division of Colorectal Surgery, Department of Surgery, Columbia University Medical Center, New York, New York
,
F. Borja de Lacy
2   Department of Gastrointestinal Surgery, Hospital Clinic, University of Barcelona, Barcelona, Spain
,
Roel Hompes
3   Department of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherland
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Abstract

There is a paradigm shift in surgical training, and new tool and technology are being used to facilitate mastery of the content and technical skills. The transanal procedures for rectal cancer—transanal endoscopic surgery (TES) and transanal total mesorectal excision (TaTME)—have a distinct learning curve for competence in the procedures, and require special training for familiarity with the “bottom-up” anatomy, procedural risks, and managing complex cases. These procedures have been models for structured education and training, using multimodal tools, to ensure safe implementation of TES and TaTME into clinical practice. The goal of this work was to review the current state of surgical education, the introduction and learning curve of the TES and TaTME procedures, and the established and future models for education of the transanal procedures for rectal cancer.

Keywords

rectal cancer - transanal minimally invasive surgery (TAMIS) - transanal total mesorectal excision (TaTME) - surgical education - surgical simulation - virtual reality (VR)


Publication History

Article published online:
31 March 2021

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