{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T06:23:11Z","timestamp":1787898191954,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,1,4]],"date-time":"2016-01-04T00:00:00Z","timestamp":1451865600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Laparoscopic total mesorectal excision (La<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content>) has improved short\u2010term outcomes of rectal cancer surgery with comparable oncological results to open approach. La<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> can be difficult in the lowermost part of the rectum, leading potentially to higher rates of complications, conversion to open surgery and probably suboptimal oncological quality. Transanal <jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> (Ta<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content>) can potentially solve these problems. The aim of this study was to compare the short\u2010term results after Ta<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> with those after La<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospectively collected database of consecutive patients who underwent Ta<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> was maintained. Results were compared with those who underwent La<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> in the preceding period. Patients who underwent low anterior resection or intersphincteric abdominoperineal excision were included. Primary end\u2010points were radical resection and specimen quality. Secondary end\u2010points were complications, rates of conversion, operating time and hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 50 patients were included (Ta<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content>\u00a0=\u00a025, La<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content>\u00a0=\u00a025). The groups were comparative in demographic data and tumour characteristics. Circumferential resection margin was positive in one patient in the Ta<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> group <jats:italic>vs<\/jats:italic> four patients in the La<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> group (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.349). All patients in the Ta<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> group had either complete or nearly complete specimen quality, while four patients in the La<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> group had incomplete specimen quality (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.113). Less blood loss, shorter operating time and shorter hospital stay were found in the Ta<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> group (<jats:italic>P<\/jats:italic> values 0.016, 0.002 and 0.020 respectively). Intra\u2010operative complications were comparable (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.286).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Ta<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content> procedure had comparable pathological results and acceptable short\u2010term postoperative outcomes compared to La<jats:styled-content style=\"fixed-case\">TME<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13225","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T12:06:10Z","timestamp":1448453170000},"page":"51-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":70,"title":["Transanal <i>vs<\/i> laparoscopic total mesorectal excision for rectal cancer: initial experience from Denmark"],"prefix":"10.1111","volume":"18","author":[{"given":"S. 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