The learning curve of laparoscopic, robot-assisted and transanal total mesorectal excisions: a systematic review.

Journal: Surgical endoscopy
Published Date:

Abstract

BACKGROUND: The standard treatment of rectal carcinoma is surgical resection according to the total mesorectal excision principle, either by open, laparoscopic, robot-assisted or transanal technique. No clear consensus exists regarding the length of the learning curve for the minimal invasive techniques. This systematic review aims to provide an overview of the current literature regarding the learning curve of minimal invasive TME.

Authors

  • Thijs A Burghgraef
    Department of Surgery, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, the Netherlands. ta.burghgraef@umcg.nl.
  • Daan J Sikkenk
    Department of Surgery, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, the Netherlands.
  • Paul M Verheijen
    Jan J van Iersel, Tim JC Paulides, Paul M Verheijen, Ivo AMJ Broeders, Esther CJ Consten, Meander Medical Centre, Department of Surgery, 3813 TZ Amersfoort, The Netherlands.
  • Mostafa El Moumni
    Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
  • Roel Hompes
    Department of Surgery, University Medical Center Amsterdam, Location AMC, Amsterdam, the Netherlands.
  • Esther C J Consten
    Jan J van Iersel, Tim JC Paulides, Paul M Verheijen, Ivo AMJ Broeders, Esther CJ Consten, Meander Medical Centre, Department of Surgery, 3813 TZ Amersfoort, The Netherlands.