{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T06:22:58Z","timestamp":1787898178558,"version":"build-2784847793"},"reference-count":69,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100012161","name":"European Association for Endoscopic Surgery and other Interventional Techniques","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012161","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014231","name":"European Society of Coloproctology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014231","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1007\/s00464-025-12432-7","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T21:17:06Z","timestamp":1764969426000},"page":"18-30","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["EAES, ESCP, and ESGAR update on taTME for rectal cancer\u2013systematic review and meta-analysis"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4999-4328","authenticated-orcid":false,"given":"Bright","family":"Huo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Arezzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Sochorova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Boyle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yegor","family":"Tryliskyy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iro","family":"Ntaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitris","family":"Mavridis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Adamina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Sylla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Jim\u00e9nez-Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitris","family":"Ntourakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorin","family":"Popa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrius","family":"Dulskas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Gourtsoyianni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Villanacci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan Florez","family":"Gomez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stavros A.","family":"Antoniou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"12432_CR1","doi-asserted-by":"publisher","first-page":"894","DOI":"10.1001\/archsurg.133.8.894","volume":"133","author":"RJ Heald","year":"1998","unstructured":"Heald RJ, Moran BJ, Ryall RDH, Sexton R, Macfarlane JK (1998) Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978\u20131997. Arch Surg 133:894\u2013899","journal-title":"Arch Surg"},{"key":"12432_CR2","doi-asserted-by":"publisher","first-page":"127","DOI":"10.3109\/07853899709113698","volume":"29","author":"WE Enker","year":"1997","unstructured":"Enker WE (1997) Total mesorectal excision - the new golden standard of surgery for rectal cancer. Ann Med 29:127\u2013133","journal-title":"Ann Med"},{"key":"12432_CR3","doi-asserted-by":"publisher","first-page":"1205","DOI":"10.1007\/s00464-010-0965-6","volume":"24","author":"P Sylla","year":"2010","unstructured":"Sylla P, Rattner DW, Delgado S, Lacy AM (2010) NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 24:1205\u20131210","journal-title":"Surg Endosc"},{"key":"12432_CR4","doi-asserted-by":"publisher","first-page":"2221","DOI":"10.1007\/s00464-022-09090-4","volume":"36","author":"M Milone","year":"2022","unstructured":"Milone M, Adamina M, Arezzo A, Bejinariu N, Boni L, Bouvy N, de Lacy FB, Dresen R, Ferentinos K, Francis NK, Mahaffey J, Penna M, Theodoropoulos G, Kontouli KM, Mavridis D, Vandvik PO, Antoniou SA (2022) UEG and EAES rapid guideline: systematic review, meta-analysis, GRADE assessment and evidence-informed European recommendations on TaTME for rectal cancer. Surg Endosc 36:2221\u20132232","journal-title":"Surg Endosc"},{"key":"12432_CR5","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1080\/13645706.2016.1199434","volume":"25","author":"JS Tr\u00e9panier","year":"2016","unstructured":"Tr\u00e9panier JS, Fernandez-Hevia M, Lacy AM (2016) Transanal total mesorectal excision: surgical technique description and outcomes. Minim Invasive Ther Allied Technol 25:234\u2013240","journal-title":"Minim Invasive Ther Allied Technol"},{"issue":"2","key":"12432_CR6","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/j.jamcollsurg.2015.03.046","volume":"221","author":"AM Lacy","year":"2015","unstructured":"Lacy AM, Tasende MM, Delgado S, Fernandez-Hevia M, Jimenez M, De Lacy B, Castells A, Bravo R, Wexner SD, Heald RJ (2015) Transanal total mesorectal excision for rectal cancer: outcomes after 140 patients. J Am Coll Surg 221(2):415\u2013423. https:\/\/doi.org\/10.1016\/j.jamcollsurg.2015.03.046","journal-title":"J Am Coll Surg"},{"key":"12432_CR7","doi-asserted-by":"publisher","first-page":"1808","DOI":"10.1007\/s00464-020-07579-4","volume":"35","author":"V Simo","year":"2021","unstructured":"Simo V, Tejedor P, Jimenez LM, Hernan C, Zorilla J, Arrredondo J, Lapuente F, Pastor C (2021) Oncological safety of transanal total mesorectal excision (TaTME) for rectal cancer: mid-term results of a prospective multicentre study. Surg Endosc 35:1808\u20131819","journal-title":"Surg Endosc"},{"key":"12432_CR8","doi-asserted-by":"publisher","unstructured":"Huo B, Arezzo A, Sochorova D, Boyle A, Tryliskyy Y, Ntaga I, Mavridis D, Adamina M, Sylla P, Jimenez-Rodriguez R, Ntourakis D, Popa D, Dulskas A, Gourtsoyianni S, Vilanacci V, Florez Gomez I, Antoniou SA (2025) EAES, ESCP and ESGAR clinical practice guideline update on taTME for rectal cancer. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-025-12427-4","DOI":"10.1007\/s00464-025-12427-4"},{"key":"12432_CR9","doi-asserted-by":"publisher","first-page":"e70028","DOI":"10.1002\/gin2.70028","volume":"2","author":"B Huo","year":"2025","unstructured":"Huo B, Arezzo A, Mavridis D, Antoniou SA (2025) EAES rapid recommendation update protocol: TaTME for rectal cancer \u2013 with ESCP and ESGAR participation. Clin Public Health Guidel 2:e70028","journal-title":"Clin Public Health Guidel"},{"key":"12432_CR10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","volume":"372","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hr\u00f3bjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71","journal-title":"BMJ"},{"key":"12432_CR11","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.jclinepi.2010.09.012","volume":"64","author":"GH Guyatt","year":"2011","unstructured":"Guyatt GH, Oxman AD, Kunz R, Atkins D, Brozek J, Vist G, Alderson P, Glasziou P, Falck-Ytter Y, Sch\u00fcnemann HJ (2011) GRADE guidelines: 2. Framing the question and deciding on important outcomes. J Clin Epidemiol 64:395\u2013400","journal-title":"J Clin Epidemiol"},{"key":"12432_CR12","doi-asserted-by":"publisher","first-page":"e12008","DOI":"10.1002\/gin2.12008","volume":"1","author":"HJ Sch\u00fcnemann","year":"2024","unstructured":"Sch\u00fcnemann HJ, Nieuwlaat R (2024) The INGUIDE international guideline training and certification programme. Clin Public Health Guidel 1:e12008","journal-title":"Clin Public Health Guidel"},{"issue":"3","key":"12432_CR13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-053246","volume":"12","author":"GP Morgano","year":"2022","unstructured":"Morgano GP, Mbuagbaw L, Santesso N, Xie F, Brozek JL, Siebert U, Bognanni A, Wiercioch W, Piggott T, Darzi AJ, Akl EA, Verstijnen IM, Parmelli E, Saz-Parkinson Z, Alonso-Coello P, Sch\u00fcnemann HJ (2022) Defining decision thresholds for judgments on health benefits and harms using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision (EtD) frameworks: a protocol for a randomised methodological study (GRADE-THRESHOLD). BMJ Open 12(3):e053246. https:\/\/doi.org\/10.1136\/bmjopen-2021-053246","journal-title":"BMJ Open"},{"key":"12432_CR14","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/j.jclinepi.2021.03.026","volume":"137","author":"L Zeng","year":"2021","unstructured":"Zeng L, Brignardello-Petersen R, Hultcrantz M, Siemieniuk RAC, Santesso N, Traversy G, Izcovich A, Sadeghirad B, Alexander PE, Devji T, Rochwerg B, Murad MH, Morgan R, Christensen R, Sch\u00fcnemann HJ, Guyatt GH (2021) Grade guidelines 32: GRADE offers guidance on choosing targets of GRADE certainty of evidence ratings. J Clin Epidemiol 137:163\u2013175","journal-title":"J Clin Epidemiol"},{"key":"12432_CR15","unstructured":"Antoniou S (2024) Online appendix of EAES Rapid Guideline: Management of complicated diverticulitis \u2013 with ESCP participation. Available at: https:\/\/osf.io\/k4sh8\/?view_only&equals;b7e9c926976640d288878d1a7c2ee38f. Accessed 1 August 2025."},{"key":"12432_CR16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898","volume":"366","author":"JAC Sterne","year":"2019","unstructured":"Sterne JAC, Savovi\u0107 J, Page MJ, Elbers RG, Blencowe NS, Boutron I, Cates CJ, Cheng HY, Corbett MS, Eldridge SM, Emberson JR, Hern\u00e1n MA, Hopewell S, Hr\u00f3bjartsson A, Junqueira DR, J\u00fcni P, Kirkham JJ, Lasserson T, Li T, McAleenan A, Reeves BC, Shepperd S, Shrier I, Stewart LA, Tilling K, White IR, Whiting PF, Higgins JPT (2019) RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ 366:l4898","journal-title":"BMJ"},{"key":"12432_CR17","unstructured":"Sterne J, Higgins J (2024) ROBINS-I V2 tool. Available at: https:\/\/www.riskofbias.info\/welcome\/robins-i-v2 Accessed 13 April 2025"},{"key":"12432_CR18","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1016\/j.jclinepi.2010.07.015","volume":"64","author":"H Balshem","year":"2011","unstructured":"Balshem H, Helfand M, Sch\u00fcnemann HJ, Oxman AD, Kunz R, Brozek J, Vist GE, Falck-Ytter Y, Meerpohl J, Norris S, Guyatt GH (2011) Grade guidelines: 3. Rating the quality of evidence. J Clin Epidemiol 64:401\u2013406","journal-title":"J Clin Epidemiol"},{"key":"12432_CR19","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1016\/j.jclinepi.2018.05.011","volume":"111","author":"Y Zhang","year":"2019","unstructured":"Zhang Y, Coello PA, Guyatt GH, Yepes-Nu\u00f1ez JJ, Akl EA, Hazlewood G, Pardo-Hernandez H, Etxeandia-Ikobaltzeta I, Qaseem A, Williams JW, Tugwell P, Flottorp S, Chang Y, Zhang Y, Mustafa RA, Rojas MX, Xie F, Sch\u00fcnemann HJ (2019) Grade guidelines: 20. Assessing the certainty of evidence in the importance of outcomes or values and preferences\u2014inconsistency, imprecision, and other domains. J Clin Epidemiol 111:83\u201393","journal-title":"J Clin Epidemiol"},{"key":"12432_CR20","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.jclinepi.2018.01.012","volume":"111","author":"HJ Sch\u00fcnemann","year":"2019","unstructured":"Sch\u00fcnemann HJ, Cuello C, Akl EA, Mustafa RA, Meerpohl JJ, Thayer K, Morgan RL, Gartlehner G, Kunz R, Katikireddi SV, Sterne J, Higgins JP, Guyatt G (2019) Grade guidelines: 18. How ROBINS-I and other tools to assess risk of bias in nonrandomized studies should be used to rate the certainty of a body of evidence. J Clin Epidemiol 111:105\u2013114","journal-title":"J Clin Epidemiol"},{"key":"12432_CR21","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1136\/ebmental-2019-300117","volume":"22","author":"S Balduzzi","year":"2019","unstructured":"Balduzzi S, R\u00fccker G, Schwarzer G (2019) How to perform a meta-analysis with R: a practical tutorial. Evid Based Ment Health 22:153\u2013160","journal-title":"Evid Based Ment Health"},{"key":"12432_CR22","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1016\/j.jclinepi.2011.03.017","volume":"64","author":"GH Guyatt","year":"2011","unstructured":"Guyatt GH, Oxman AD, Kunz R, Woodcock J, Brozek J, Helfand M, Alonso-Coello P, Glasziou P, Jaeschke R, Akl EA, Norris S, Vist G, Dahm P, Shukla VK, Higgins J, Falck-Ytter Y, Sch\u00fcnemann HJ (2011) Grade guidelines: 7. Rating the quality of evidence - inconsistency. J Clin Epidemiol 64:1294\u20131302","journal-title":"J Clin Epidemiol"},{"key":"12432_CR23","doi-asserted-by":"publisher","first-page":"964","DOI":"10.1136\/bmj.d549","volume":"342","author":"RD Riley","year":"2011","unstructured":"Riley RD, Higgins JPT, Deeks JJ (2011) Interpretation of random effects meta-analyses. BMJ 342:964\u2013967","journal-title":"BMJ"},{"key":"12432_CR24","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1002\/jrsm.1678","volume":"15","author":"Michael Borenstein","year":"2024","unstructured":"Michael Borenstein (2024) Avoiding common mistakes in meta-analysis: understanding the distinct roles of Q, I-squared, tau-squared, and the prediction interval in reporting heterogeneity. Res Synth Methods 15:354\u2013368","journal-title":"Res Synth Methods"},{"key":"12432_CR25","unstructured":"R Core Team (2023) R: A language and environment for statistical computing. R Foundation for Statistical Computing. Available at: https:\/\/www.R-project.org\/. Accessed 22 March 2025"},{"key":"12432_CR26","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1136\/eb-2014-101795","volume":"17","author":"A Nikolakopoulou","year":"2014","unstructured":"Nikolakopoulou A, Mavridis D, Salanti G (2014) Demystifying fixed and random effects meta-analysis. Evid Based Ment Health 17:53\u201357","journal-title":"Evid Based Ment Health"},{"key":"12432_CR27","first-page":"143","volume-title":"Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, Cochrane Handbook for Systematic Reviews of Interventions, The Cochrane Collaboration","author":"JP Higgins","year":"2019","unstructured":"Higgins JP, Li T, Deeks JJ (2019) Choosing effect measures and computing estimates of effect. In: Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (eds) Cochrane handbook for systematic reviews of interventions. The Cochrane Collaboration. John Wiley & Sons, Chichester, pp 143\u2013176"},{"key":"12432_CR28","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1186\/1745-6215-8-16","volume":"8","author":"JF Tierney","year":"2007","unstructured":"Tierney JF, Stewart LA, Ghersi D, Burdett S, Sydes MR (2007) Practical methods for incorporating summary time-to-event data into meta-analysis. Trials 8:16","journal-title":"Trials"},{"issue":"17","key":"12432_CR29","doi-asserted-by":"publisher","first-page":"4098","DOI":"10.3390\/cancers14174098","volume":"14","author":"YC Lin","year":"2022","unstructured":"Lin YC, Kuo YT, You JF, Chern YJ, Hsu YJ, Yu YL, Chiang JM, Yeh CY, Hsieh PS, Liao CK (2022) Transanal total mesorectal excision (TaTME) versus laparoscopic total mesorectal excision for lower rectal cancer: a propensity score-matched analysis. Cancers (Basel) 14(17):4098. https:\/\/doi.org\/10.3390\/cancers14174098","journal-title":"Cancers (Basel)"},{"key":"12432_CR30","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1097\/DCR.0000000000001816","volume":"64","author":"Z Zeng","year":"2021","unstructured":"Zeng Z, Liu Z, Huang L, Liu H, Jie H, Luo S, Zhang X, Kang L (2021) Transanal total mesorectal excision in mid-low rectal cancer: evaluation of the learning curve and comparison of short-term results with standard laparoscopic total mesorectal excision. Dis Colon Rectum 64:380\u2013388","journal-title":"Dis Colon Rectum"},{"key":"12432_CR31","doi-asserted-by":"publisher","first-page":"3902","DOI":"10.1007\/s00464-021-08707-4","volume":"36","author":"Z Zeng","year":"2022","unstructured":"Zeng Z, Liu Z, Luo S, Liang Z, Huang L, Ruan L, Chen J, Jie H, Liang W, Liu H, Kang L (2022) Three-year outcomes of transanal total mesorectal excision versus standard laparoscopic total mesorectal excision for mid and low rectal cancer. Surg Endosc 36:3902\u20133910","journal-title":"Surg Endosc"},{"key":"12432_CR32","doi-asserted-by":"publisher","first-page":"774","DOI":"10.1001\/jama.2024.24276","volume":"333","author":"Zeng Z, Luo S, Zhang H, Wu M, Ma D, Wang Q, Xie M, Xu Q, Ouyang J, Xiao Y, Song Y, Feng B, Xu Q, Wang Y, Zhang Y, Shi L, Ling L, Zhang X, Huang L, Yang Z, Peng J, Wu X, Ren D, Huang M, Lan P, Wang J, Tong W, Ren M, Liu H, Kang L, Chinese Transanal Endoscopic Surgery Collaborative (CTESC) Group","year":"2025","unstructured":"Zeng Z, Luo S, Zhang H, Wu M, Ma D, Wang Q, Xie M, Xu Q, Ouyang J, Xiao Y, Song Y, Feng B, Xu Q, Wang Y, Zhang Y, Shi L, Ling L, Zhang X, Huang L, Yang Z, Peng J, Wu X, Ren D, Huang M, Lan P, Wang J, Tong W, Ren M, Liu H, Kang L, Chinese Transanal Endoscopic Surgery Collaborative (CTESC) Group (2025) Transanal vs laparoscopic total mesorectal excision and 3-year disease-free survival in rectal cancer: the TaLaR randomized clinical trial. JAMA 333:774\u2013783","journal-title":"JAMA"},{"issue":"8","key":"12432_CR33","doi-asserted-by":"publisher","first-page":"991","DOI":"10.1093\/bjs\/znab056","volume":"108","author":"JAG Van Der Heijden","year":"2021","unstructured":"Van Der Heijden JAG, Qaderi SM, Verhoeven R, Custers JAE, Klarenbeek BR, Maaskant-Braat AJG, De Wilt JHW (2021) Transanal total mesorectal excision and low anterior resection syndrome. Br J Surg 108(8):991\u2013997. https:\/\/doi.org\/10.1093\/bjs\/znab056","journal-title":"Br J Surg"},{"issue":"5","key":"12432_CR34","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.1016\/j.ejso.2020.11.131","volume":"47","author":"J Ye","year":"2021","unstructured":"Ye J, Tian Y, Li F, van Oostendorp S, Chai Y, Tuynman J, Tong W (2021) Comparison of transanal total mesorectal excision (TaTME) versus laparoscopic TME for rectal cancer: a case matched study. Eur J Surg Oncol 47(5):1019\u20131025. https:\/\/doi.org\/10.1016\/j.ejso.2020.11.131","journal-title":"Eur J Surg Oncol"},{"key":"12432_CR35","doi-asserted-by":"publisher","first-page":"3956","DOI":"10.1007\/s00464-019-07167-1","volume":"34","author":"Z Zeng","year":"2020","unstructured":"Zeng Z, Luo S, Chen J, Cai Y, Zhang X, Kang L (2020) Comparison of pathological outcomes after transanal versus laparoscopic total mesorectal excision: a prospective study using data from randomized control trial. Surg Endosc 34:3956\u20133962","journal-title":"Surg Endosc"},{"key":"12432_CR36","doi-asserted-by":"publisher","first-page":"2191","DOI":"10.1007\/s13304-023-01676-4","volume":"75","author":"P Tejedor","year":"2023","unstructured":"Tejedor P, Arredondo J, Sim\u00f3 V, Zorrilla J, Baixauli J, Jim\u00e9nez LM, Pastor C (2023) The role of transanal compared to laparoscopic total mesorectal excision (taTME vs. lapTME) for the treatment of mid-low rectal cancer in obese patients: outcomes of a multicenter propensity-matched analysis. Updates Surg 75:2191\u20132200","journal-title":"Updates Surg"},{"key":"12432_CR37","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1093\/bjs\/znac324","volume":"110","author":"X Serra-Aracil","year":"2023","unstructured":"Serra-Aracil X, Zarate A, Bargall\u00f3 J, Gonzalez A, Serracant A, Roura J, Delgado S, Mora-L\u00f3pez L (2023) Transanal versus laparoscopic total mesorectal excision for mid and low rectal cancer (Ta-LaTME study): multicentre, randomized, open-label trial. Br J Surg 110:150\u2013158","journal-title":"Br J Surg"},{"key":"12432_CR38","doi-asserted-by":"publisher","first-page":"2271","DOI":"10.1007\/s00384-021-04019-0","volume":"36","author":"M Munini","year":"2021","unstructured":"Munini M, Popeskou SG, Galetti K, Roesel R, Mongelli F, Christoforidis D (2021) Transanal (TaTME) vs. laparoscopic total mesorectal excision for mid and low rectal cancer: a propensity score-matched analysis of early and long-term outcomes. Int J Colorectal Dis 36:2271\u20132279","journal-title":"Int J Colorectal Dis"},{"key":"12432_CR39","doi-asserted-by":"publisher","first-page":"2312","DOI":"10.1007\/s00464-017-5926-x","volume":"32","author":"SK Perdawood","year":"2018","unstructured":"Perdawood SK, Thinggaard BS, Bjoern MX (2018) Effect of transanal total mesorectal excision for rectal cancer: comparison of short-term outcomes with laparoscopic and open surgeries. Surg Endosc 32:2312\u20132321","journal-title":"Surg Endosc"},{"key":"12432_CR40","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1111\/codi.14601","volume":"21","author":"CL Sparreboom","year":"2019","unstructured":"Sparreboom CL, Komen N, Rizopoulos D, van Westreenen HL, Doornebosch PG, Dekker JWT, Menon AG, Tuynman JB, Daams F, Lips D, van Grevenstein WMU, Karsten TM, Lange JF, D\u2019Hoore A, Wolthuis AM (2019) Transanal total mesorectal excision: how are we doing so far? Colorectal Dis 21:767\u2013774","journal-title":"Colorectal Dis"},{"key":"12432_CR41","doi-asserted-by":"publisher","first-page":"809","DOI":"10.1097\/DCR.0000000000001063","volume":"61","author":"R Persiani","year":"2018","unstructured":"Persiani R, Biondi A, Pennestr\u00ec F, Fico V, De Simone V, Tirelli F, Santullo F, D\u2019Ugo D (2018) Transanal total mesorectal excision vs laparoscopic total mesorectal excision in the treatment of low and middle rectal cancer: a propensity score matching analysis. Dis Colon Rectum 61:809\u2013816","journal-title":"Dis Colon Rectum"},{"key":"12432_CR42","doi-asserted-by":"publisher","first-page":"4924","DOI":"10.1007\/s00464-016-4833-x","volume":"30","author":"A Pontallier","year":"2016","unstructured":"Pontallier A, Denost Q, Van Geluwe B, Adam JP, Celerier B, Rullier E (2016) Potential sexual function improvement by using transanal mesorectal approach for laparoscopic low rectal cancer excision. Surg Endosc 30:4924\u20134933","journal-title":"Surg Endosc"},{"key":"12432_CR43","doi-asserted-by":"publisher","first-page":"5239","DOI":"10.2147\/CMAR.S181214","volume":"10","author":"M Rubinkiewicz","year":"2018","unstructured":"Rubinkiewicz M, Nowakowski M, Wierdak M, Mizera M, Dembi\u0144ski M, Pisarska M, Major P, Ma\u0142czak P, Budzy\u0144ski A, P\u0119dziwiatr M (2018) Transanal total mesorectal excision for low rectal cancer: a case-matched study comparing tatme versus standard laparoscopic TME. Cancer Manag Res 10:5239\u20135245","journal-title":"Cancer Manag Res"},{"key":"12432_CR44","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/SLA.0000000000005523","volume":"277","author":"H Liu","year":"2023","unstructured":"Liu H, Zeng Z, Zhang H, Wu M, Ma D, Wang Q, Xie M, Xu Q, Ouyang J, Xiao Y, Song Y, Feng B, Xu Q, Wang Y, Zhang Y, Hao Y, Luo S, Zhang X, Yang Z, Peng J, Wu X, Ren D, Huang M, Lan P, Tong W, Ren M, Wang J, Kang L (2023) Morbidity, mortality, and pathologic outcomes of transanal versus laparoscopic total mesorectal excision for rectal cancer short-term outcomes from a multicenter randomized controlled trial. Ann Surg 277:1\u20136","journal-title":"Ann Surg"},{"key":"12432_CR45","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/2387464","volume":"2022","author":"Z Li","year":"2022","unstructured":"Li Z, Xiao J, Hou Y, Zhang X, Jie H, Liu H, Ruan L, Zeng Z, Kang L (2022) Transanal versus laparoscopic total mesorectal excision in male patients with low tumor location after neoadjuvant therapy: a propensity score-matched cohort study. Gastroenterol Res Pract 2022:2387464. https:\/\/doi.org\/10.1155\/2022\/2387464","journal-title":"Gastroenterol Res Pract"},{"key":"12432_CR46","doi-asserted-by":"publisher","first-page":"1611","DOI":"10.1097\/JS9.0000000000000992","volume":"110","author":"Z Li","year":"2024","unstructured":"Li Z, Liu H, Luo S, Hou Y, Zhou Y, Zheng X, Zhang X, Huang L, Zeng Z, Kang L (2024) Long-term oncological outcomes of transanal versus laparoscopic total mesorectal excision for mid-low rectal cancer: a retrospective analysis of 2502 patients. Int J Surg 110:1611\u20131619","journal-title":"Int J Surg"},{"key":"12432_CR47","doi-asserted-by":"publisher","first-page":"6852","DOI":"10.1007\/s00464-023-10090-1","volume":"37","author":"Z Li","year":"2023","unstructured":"Li Z, Wang Q, Ning W, Yang Q, Huang Y, Yan S, Yang B, Xie M (2023) Transanal total mesorectal excision versus laparoscopic intersphincteric resection for low rectal cancer: a propensity score matching analysis. Surg Endosc 37:6852\u20136860","journal-title":"Surg Endosc"},{"key":"12432_CR48","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1111\/codi.13225","volume":"18","author":"SK Perdawood","year":"2016","unstructured":"Perdawood SK, Al Khefagie GAA (2016) Transanal vs laparoscopic total mesorectal excision for rectal cancer: initial experience from Denmark. Colorectal Dis 18:51\u201358","journal-title":"Colorectal Dis"},{"key":"12432_CR49","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1007\/s10151-020-02397-1","volume":"25","author":"Y Li","year":"2021","unstructured":"Li Y, Bai X, Niu B, Zhou J, Qiu H, Xiao Y, Lin G (2021) A prospective study of health related quality of life, bowel and sexual function after TaTME and conventional laparoscopic TME for mid and low rectal cancer. Tech Coloproctol 25:449\u2013459","journal-title":"Tech Coloproctol"},{"key":"12432_CR50","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1007\/s00464-018-6280-3","volume":"33","author":"TWA Koedam","year":"2019","unstructured":"Koedam TWA, Veltcamp Helbach M, Penna M, Wijsmuller A, Doornebosch P, van Westreenen HL, Hompes R, Bonjer HJ, Sietses C, de Graaf E, Tuynman JB (2019) Short-term outcomes of transanal completion total mesorectal excision (cTaTME) for rectal cancer: a case-matched analysis. Surg Endosc 33:103\u2013109","journal-title":"Surg Endosc"},{"key":"12432_CR51","doi-asserted-by":"publisher","first-page":"1486","DOI":"10.1007\/s00464-017-5836-y","volume":"32","author":"Q Denost","year":"2018","unstructured":"Denost Q, Loughlin P, Chevalier R, Celerier B, Didailler R, Rullier E (2018) Transanal versus abdominal low rectal dissection for rectal cancer: long-term results of the Bordeaux\u2019 randomized trial. Surg Endosc 32:1486\u20131494","journal-title":"Surg Endosc"},{"key":"12432_CR52","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1097\/DCR.0000000000000396","volume":"58","author":"F Kanso","year":"2015","unstructured":"Kanso F, Maggiori L, Debove C, Chau A, Ferron M, Panis Y (2015) Perineal or abdominal approach first during intersphincteric resection for low rectal cancer: which is the best strategy? Dis Colon Rectum 58:637\u2013644","journal-title":"Dis Colon Rectum"},{"key":"12432_CR53","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4174\/astr.2021.101.1.1","volume":"101","author":"RK Ha","year":"2021","unstructured":"Ha RK, Park SC, Park B, Park SS, Sohn DK, Chang HJ, Oh JH (2021) Comparison of patient-reported quality of life and functional outcomes following laparoscopic and transanal total mesorectal excision of rectal cancer. Ann Surg Treat Res 101:1\u201312","journal-title":"Ann Surg Treat Res"},{"key":"12432_CR54","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1097\/DCR.0000000000001579","volume":"63","author":"CC Foo","year":"2020","unstructured":"Foo CC, Kin Ng K, Tsang JS, Siu-Hung Lo O, Wei R, Yip J, Lun Law W (2020) Low anterior resection syndrome after transanal total mesorectal excision: a comparison with the conventional top-to-bottom approach. Dis Colon Rectum 63:497\u2013503","journal-title":"Dis Colon Rectum"},{"key":"12432_CR55","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1097\/SLA.0000000000000766","volume":"260","author":"Q Denost","year":"2014","unstructured":"Denost Q, Adam JP, Rullier A, Buscail E, Laurent C, Rullier E (2014) Perineal transanal approach: a new standard for laparoscopic sphincter-saving resection in low rectal cancer, a randomized trial. Ann Surg 260:993\u2013999","journal-title":"Ann Surg"},{"key":"12432_CR56","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1186\/s12885-020-07171-y","volume":"20","author":"FB De Lacy","year":"2020","unstructured":"De Lacy FB, Roodbeen SX, R\u00edos J, Van Laarhoven J, Otero-Pi\u00f1eiro A, Bravo R, Visser T, Van Poppel R, Valverde S, Hompes R, Sietses C, Castells A, Bemelman WA, Tanis PJ, Lacy AM (2020) Three-year outcome after transanal versus laparoscopic total mesorectal excision in locally advanced rectal cancer: a multicenter comparative analysis. BMC Cancer 20:677","journal-title":"BMC Cancer"},{"key":"12432_CR57","doi-asserted-by":"publisher","first-page":"1500","DOI":"10.1097\/DCR.0000000000001725","volume":"63","author":"MK Alhanafy","year":"2020","unstructured":"Alhanafy MK, Park SS, Park SC, Park B, Kim MJ, Sohn DK, Chang HJ, Oh JH (2020) Early experience with transanal total mesorectal excision compared with laparoscopic total mesorectal excision for rectal cancer: a propensity score-matched analysis. Dis Colon Rectum 63:1500\u20131510","journal-title":"Dis Colon Rectum"},{"key":"12432_CR58","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1089\/lap.2017.0520","volume":"28","author":"TC Chang","year":"2018","unstructured":"Chang TC, Kiu KT (2018) Transanal total mesorectal excision in lower rectal cancer: comparison of short-term outcomes with conventional laparoscopic total mesorectal excision. J Laparoendosc Adv Surg Tech A 28:365\u2013369","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"12432_CR59","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1007\/s10151-013-0984-0","volume":"17","author":"RJ Heald","year":"2013","unstructured":"Heald RJ (2013) A new solution to some old problems: Transanal TME. Tech Coloproctol 17:257\u2013258","journal-title":"Tech Coloproctol"},{"key":"12432_CR60","doi-asserted-by":"publisher","first-page":"1795","DOI":"10.3390\/curroncol28030167","volume":"28","author":"K Neumann","year":"2021","unstructured":"Neumann K, Randhawa N, Park J, Hochman DJ (2021) Cost analysis of laparoscopic low anterior resection vs. transanal endoscopic microsurgery for rectal neoplasms. Curr Oncol 28:1795\u20131802","journal-title":"Curr Oncol"},{"issue":"1","key":"12432_CR61","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000263","volume":"4","author":"B Smalbroek","year":"2023","unstructured":"Smalbroek B, Geitenbeek R, Burghgraef T, Dijksman L, Hol J, Rutgers M, Crolla R, van Geloven N, Leijtens J, Polat F, Pronk A, Verdaasdonk E, Tuynman J, Sietses C, Postma M, Hompes R, Consten E, Smits A (2023) A cost overview of minimally invasive total mesorectal excision in rectal cancer patients: a population-based cohort in experienced centres. Ann Surg Open 4(1):e263. https:\/\/doi.org\/10.1097\/AS9.0000000000000263","journal-title":"Ann Surg Open"},{"key":"12432_CR62","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s13304-020-00879-3","volume":"73","author":"F Di Candido","year":"2021","unstructured":"Di Candido F, Carvello M, Keller DS, Vanni E, Maroli A, Montroni I, Hompes R, Sacchi M, Montorsi M, Spinelli A (2021) A comparative cost analysis of transanal and laparoscopic total mesorectal excision for rectal cancer. Update Surg 73:85\u201391","journal-title":"Update Surg"},{"key":"12432_CR63","doi-asserted-by":"crossref","unstructured":"de\u2019Angelis N, Marchegiani F, Mart\u00ednez-P\u00e9rez A, Biondi A, Pucciarelli S, Schena CA, Pellino G, Kraft M, van Lieshout AS, Morelli L, Valverde A, Lupinacci RM, G\u00f3mez-Abril SA, Persiani R, Tuynman JB, Espin-Basany E, Ris F, Bianchi G, Mart\u00ed-Mart\u00ednez E, Torres-S\u00e1nchez T, Sebasti\u00e1n-Tom\u00e1s JC, Maretto I, Spolverato G, Guadagni S, Solis A (2024) Robotic, transanal, and laparoscopic total mesorectal excision for locally advanced mid\/low rectal cancer: European multicentre, propensity score-matched study. BJS Open 8 44","DOI":"10.1093\/bjsopen\/zrae044"},{"key":"12432_CR64","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1007\/s00464-018-6340-8","volume":"33","author":"WL Law","year":"2019","unstructured":"Law WL, Foo DCC (2019) Comparison of early experience of robotic and transanal total mesorectal excision using propensity score matching. Surg Endosc 33:757\u2013763","journal-title":"Surg Endosc"},{"issue":"11","key":"12432_CR65","doi-asserted-by":"publisher","first-page":"1380","DOI":"10.1093\/bjs\/znab233","volume":"108","author":"JC Hol","year":"2021","unstructured":"Hol JC, Burghgraef TA, Rutgers MLW, Crolla RMPH, van Geloven NAW, Hompes R, Leijtens JWA, Polat F, Pronk A, Smits AB, Tuynman JB, Verdaasdonk EGG, Consten ECJ, Sietses C (2021) Comparison of laparoscopic versus robot-assisted versus transanal total mesorectal excision surgery for rectal cancer: a retrospective propensity score-matched cohort study of short-term outcomes. Br J Surg 108(11):1380\u20131387. https:\/\/doi.org\/10.1093\/bjs\/znab233","journal-title":"Br J Surg"},{"issue":"6","key":"12432_CR66","doi-asserted-by":"publisher","first-page":"1110","DOI":"10.1097\/SLA.0000000000002862","volume":"270","author":"L Lee","year":"2019","unstructured":"Lee L, de Lacy B, Ruiz MG, Liberman AS, Albert MR, Monson JRT, Lacy A, Kim SH, Atallah SB (2019) A multicenter matched comparison of transanal and robotic total mesorectal excision for mid and low-rectal adenocarcinoma. Ann Surg 270(6):1110\u20131116. https:\/\/doi.org\/10.1097\/SLA.0000000000002862","journal-title":"Ann Surg"},{"key":"12432_CR67","doi-asserted-by":"publisher","first-page":"29","DOI":"10.3393\/ac.2018.34.1.29","volume":"34","author":"KY Lee","year":"2018","unstructured":"Lee KY, Shin JK, Park YA, Yun SH, Huh JW, Cho YB, Kim HC, Lee WY (2018) Transanal endoscopic and transabdominal robotic total mesorectal excision for mid-to-low rectal cancer: comparison of short-term postoperative and oncologic outcomes by using a case-matched analysis. Ann Coloproctol 34:29\u201335","journal-title":"Ann Coloproctol"},{"key":"12432_CR68","doi-asserted-by":"publisher","first-page":"3210","DOI":"10.1007\/s00464-015-4615-x","volume":"30","author":"CL Deijen","year":"2016","unstructured":"Deijen CL, Velthuis S, Tsai A, Mavroveli S, de Lange-de Klerk ESM, Sietses C, Tuynman JB, Lacy AM, Hanna GB, Bonjer HJ (2016) COLOR III: a multicentre randomised clinical trial comparing transanal TME versus laparoscopic TME for mid and low rectal cancer. Surg Endosc 30:3210\u20133215","journal-title":"Surg Endosc"},{"key":"12432_CR69","doi-asserted-by":"publisher","first-page":"9483","DOI":"10.1007\/s00464-023-10266-9","volume":"37","author":"P Sylla","year":"2023","unstructured":"Sylla P, Sands D, Ricardo A, Bonaccorso A, Polydorides A, Berho M, Marks J, Maykel J, Alavi K, Zaghiyan K, Whiteford M, Mclemore E, Chadi S, Shawki SF, Steele S, Pigazzi A, Albert M, DeBeche-Adams T, Moshier E, Wexner SD (2023) Multicenter phase II trial of transanal total mesorectal excision for rectal cancer: preliminary results. Surg Endosc 37:9483\u20139508","journal-title":"Surg Endosc"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12432-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-025-12432-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12432-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T21:02:39Z","timestamp":1769029359000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-025-12432-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,5]]},"references-count":69,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["12432"],"URL":"https:\/\/doi.org\/10.1007\/s00464-025-12432-7","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,5]]},"assertion":[{"value":"15 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Bright Huo, Alberto Arezzo, Dana Sochorova, Amy Boyle, Yegor Tryliskyy, Iro Ntaga, Dimitris Mavridis, Michel Adamina, Patricia Sylla, Rosa Jim\u00e9nez-Rodriguez, Dimitris Ntourakis, Dorin Popa, Audrius Dulskas, Suzanne Dor\u00e9, Raphaela Reeb-Ilgenfritz, Sofia Gourtsoyianni, Vincenzo Vilanacci, Ivan Florez Gomez, and Stavros A. Antoniou declare no direct conflicts of interest related to this work. Indirect conflicts of external advisors were documented and managed as per Guidelines International Network Standards. Detailed conflict of interest statements of all contributors can be found in the online appendix [\n                      \n                      ].","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Patient consent statement"}}]}}