Rectal cancer is now an increasing problem in both developed and developing countries. In the last 7 years, minimally invasive surgery for this disease has entered a new era of transanal resection with/without laparoscopic assistance.
Materials and Methods:
We present here a prospective study done in Egypt (probably the earliest experience) and Spain on the feasibility of hybrid NOTES in rectal cancer.
Results:
From September 2015 till November 2017, 18 cases underwent transanal total mesorectal excision with no detected mortality and with morbidities in 44% of cases, from which 5 were class III on Clavien–Dindo scale requiring intervention. Good quality total mesorectal excision was obtained in more than three quarters of our patients.
Conclusions:
In our experience, the technique was technically demanding with a long learning curve; however, the short term results were very good in alliance with other few similar reports.
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