Update on Transanal NOTES for Rectal Cancer: Transitioning to Human Trials
Figure 2
(a) Set up for pure NOTES transanal rectosigmoid resection via TEM using standard instruments and endoscopic tools in cadavers using a colonoscope for visualization. (b) Set up for transanal NOTES rectosigmoid resection with laparoscopic assistance in cadavers. (c) Transanal circumferential and full-thickness rectal dissection through the TEM platform, starting just below the purse-string suture, in a female patient with an upper rectal cancer. (d) Transanal posterior mesorectal dissection using laparoscopic instruments through the TEM platform in a female patient. (e) Transanal mobilization of the anterior rectal wall and peritoneal entry through the TEM platform in a female patient. (f) Intact rectosigmoid specimen and mesorectum following transanal NOTES procedures.
