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Evolution of transanal total mesorectal excision according to the IDEAL framework | JoVE Visualize

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Evolution of transanal total mesorectal excision according to the IDEAL framework

Sapho Xenia Roodbeen¹, Annalisa Lo Conte², Allison Hirst³

¹Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

BMJ Surgery, Interventions, & Health Technologies|January 20, 2022

View abstract on PubMed

Summary

The IDEAL framework offers a structured approach to surgical innovation, ensuring patient safety. This review examines transanal total mesorectal excision (TaTME) through the IDEAL stages, guiding its safe development and assessment.

Area of Science:

Surgical Innovation
Colorectal Surgery
Medical Device Development

Background:

Surgical innovation historically lacked regulation, unlike drug development.
The IDEAL framework provides a structured approach for evaluating new surgical techniques.
Transanal total mesorectal excision (TaTME) is a novel rectal cancer surgery gaining global traction.

Purpose of the Study:

To provide an overview of the evolution of transanal total mesorectal excision (TaTME).
To assess the development and implementation of TaTME using the IDEAL framework.
To guide the safe progression of surgical innovations.

Main Methods:

Literature review of transanal total mesorectal excision (TaTME) studies.
Application of the IDEAL framework (Idea, Development, Exploration, Assessment, Long-term) to TaTME evolution.
Analysis of reported outcomes and challenges in TaTME adoption.

Main Results:

TaTME has progressed through the initial stages of the IDEAL framework.
Increasing adoption and interest in TaTME worldwide are noted.
The review highlights areas for further research and standardization.

Conclusions:

The IDEAL framework is a valuable tool for managing surgical innovation like TaTME.
Structured evaluation ensures the safe and effective implementation of new surgical techniques.
Continued assessment of TaTME is crucial for optimizing rectal cancer treatment.

Keywords:

Manufacturing Engineering

Microtechnology

Evolution Of Transanal Total Mesorectal Excision According To The Ideal Framework

minimally invasive surgical procedures