{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:37:27Z","timestamp":1768433847921,"version":"3.49.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T00:00:00Z","timestamp":1591660800000},"content-version":"vor","delay-in-days":160,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Epworth Medical Foundation"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The safe adoption of transanal total mesorectal excision (taTME) has occurred in Australasia as previously reported by the current authors. Planes beyond TME can be utilised in more advanced cases to achieve negative margins during transanal dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this article we describe how taTME is used to perform an en-bloc partial vaginectomy and aid restore intestinal and vaginal continuity in a young female with a locally advanced rectal cancer and posterior vaginal wall involvement in the pre-treatment magnetic resonance imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The transanal technique allowed the surgeons to remove a disc of vagina, ensure organ preservation and control the main R1 risk point. An R0 resection was achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This technical note highlights that in experienced hands, taTME may be safely implemented to maintain restorative options in locally advanced rectal cancer requiring resection beyond the total mesorectal excision plane.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.06.015","type":"journal-article","created":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T11:54:33Z","timestamp":1591962873000},"page":"39-43","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Using taTME to maintain restorative options in locally advanced rectal cancer"],"prefix":"10.1097","volume":"73","author":[{"given":"Jos\u00e9 Tom\u00e1s","family":"Larach","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peadar S.","family":"Waters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob J.","family":"McCormick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander G.","family":"Heriot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip J.","family":"Smart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satish K.","family":"Warrier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-10-20260114","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1001\/jamasurg.2014.2887","article-title":"Modern multidisciplinary perioperative management of rectal cancer","volume":"150","author":"Berho","year":"2015","journal-title":"JAMA Surg"},{"key":"R2-10-20260114","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1111\/j.1463-1318.2010.02460.x","article-title":"Preoperative tumour staging with multidisciplinary team assessment improves the outcome in locally advanced primary rectal cancer","volume":"13","author":"Palmer","year":"2011","journal-title":"Colorectal Dis"},{"key":"R3-10-20260114","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1038\/sj.bjc.6602947","article-title":"MRI directed multidisciplinary team preoperative treatment strategy: the way to eliminate positive circumferential margins?","volume":"94","author":"Burton","year":"2006","journal-title":"Br. J. Cancer"},{"key":"R4-10-20260114","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1200\/JCO.2012.45.3258","article-title":"Preoperative magnetic resonance imaging assessment of circumferential resection margin predicts disease-free survival and local recurrence: 5-year follow-up results of the MERCURY study","volume":"32","author":"Taylor","year":"2013","journal-title":"J. Clin. Oncol"},{"key":"R5-10-20260114","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1016\/j.crad.2006.06.005","article-title":"Clarifying margins in the multidisciplinary management of rectal cancer: the MERCURY experience","volume":"61","author":"Salerno","year":"2006","journal-title":"Clin. Radiol"},{"key":"R6-10-20260114","doi-asserted-by":"crossref","first-page":"O1","DOI":"10.1111\/codi.13964","article-title":"An assessment of an Australasian pathway for the introduction of transanal total mesorectal excision (taTME)","volume":"20","author":"Abbott","year":"2018","journal-title":"Colorectal Dis"},{"key":"R7-10-20260114","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s10151-019-01941-y","article-title":"Utilising taTME and robotics to reduce R1 risk in locally advanced rectal cancer with rectovaginal and cervical involvement","volume":"23","author":"Teoh","year":"2019","journal-title":"Tech. Coloproctol"},{"key":"R8-10-20260114","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1007\/s10151-018-1891-1","article-title":"Transanal extended rectal surgery with lateral pelvic lymph node dissection","volume":"22","author":"Aiba","year":"2018","journal-title":"Tech. Coloproctol"},{"key":"R9-10-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R10-10-20260114","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1055\/s-0036-1580723","article-title":"Surgery for locally recurrent rectal cancer: tips, tricks, and pitfalls","volume":"29","author":"Warrier","year":"2016","journal-title":"Clin. Colon Rectal Surg"},{"key":"R11-10-20260114","doi-asserted-by":"crossref","first-page":"O265","DOI":"10.1111\/codi.13074","article-title":"Optimal dissection for transanal total mesorectal excision using modified CO2 insufflation and smoke extraction","volume":"17","author":"Nicholson","year":"2015","journal-title":"Colorectal Dis"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220304089?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220304089?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.06.015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:21:46Z","timestamp":1768396906000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.06.015"}},"subtitle":["A technical note"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.06.015","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}