PT  - JOURNAL ARTICLE
AU  - Sapho Xenia Roodbeen
AU  - Annalisa lo Conte
AU  - Allison Hirst
AU  - Marta Penna
AU  - Willem A Bemelman
AU  - Pieter J Tanis
AU  - Roel Hompes
TI  - Evolution of transanal total mesorectal excision according to the IDEAL framework
AID  - 10.1136/bmjsit-2019-000004
DP  - 2019 Jul 01
TA  - BMJ Surgery, Interventions, & Health Technologies
PG  - e000004
VI  - 1
IP  - 1
4099  - http://sit.bmj.com/content/1/1/e000004.short
4100  - http://sit.bmj.com/content/1/1/e000004.full
AB  - Tremendous innovations have taken place in surgical procedures, but contrary to drug development, this process has been unregulated in the past. IDEAL promotes a structured framework for the safe implementation and assessment of a new surgical technique or intervention, by describing five stages for evaluating and reporting of innovations: Idea, Development, Exploration, Assessment and Long term. Transanal total mesorectal excision (TaTME) is a relatively new technique in rectal cancer surgery that has attracted huge interest and increasing adoption worldwide. This review article aims to provide an overview of the evolution of TaTME, according to the IDEAL framework, which guides us in the difficult yet exciting process of surgical innovation.