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Jeong et al. Mini-invasive Surg 2019;3:38 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.42

Editorial Open Access

Transanal minimally invasive surgery: from
transanal minimally invasive surgery to pure natural
orifice transluminal endoscopic surgery

Won Jun Jeong , Byung Jo Choi , Sang Chul Lee 1,2
1,2
1,2
1 Department of Surgery, Daejeon St. Mary’s Hospital, Daejeon 94349, Republic of Korea.
2 Department of Surgery, College of Medicine, the Catholic University of Korea, Seoul 06591, Republic of Korea.
Correspondence to: Prof. Sang Chul Lee, Department of Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The
Catholic University of Korea, 520-2 Daeheung-dong, Jung-gu, Daejeon 301-723, Republic of Korea.
E-mail: zambo9@catholic.ac.kr; zambo9@hanmail.net

How to cite this article: Jeong WJ, Choi BJ, Lee SC. Transanal minimally invasive surgery: from transanal minimally invasive
surgery to pure natural orifice transluminal endoscopic surgery. Mini-invasive Surg 2019;3:38.
http://dx.doi.org/10.20517/2574-1225.2019.42

Received: 15 Oct 2019 Accepted: 3 Dec 2019 Published: 12 Dec 2019

Science Editor: Xavier Serra-Aracil Copy Editor: Jing-Wen Zhang Production Editor: Tian Zhang

ANATOMICAL CHARACTERISTICS OF RECTUM
The rectum, the last stage of the digestive tract, inevitably crosses the pelvic cavity to the anus. The pelvic
cavity is a tunnel-shaped space consisting of pelvic bones and is compactly filled with soft tissues including
urogenital organs, blood vessels, nerves, and lymph nodes as well as the rectum. Rectal surgery performed
in this narrow and visually adverse environment is difficult, regardless of surgical modalities in terms of
firm procedures, securing margins, and nerve and blood vessel preservation. This is particularly acute in
the distal rectum, because the rectum travels forward and close to the prostate and seminal vesicles in men
and the vaginal wall in women.

HISTORY OF RECTAL SURGERY
The first description of rectal cancer was given by Joannes Baptista (1682-1771), and the first operation
was performed by Jacques Lisfranc in 1826 in a transanal approach. The first colostomy to relieve large
bowel obstruction was performed by Amussat in 1839 and the first transsacral approach to rectal cancer
by Kraske in 1885. The combining of transabdominal and transperineal approaches to rectal cancer was
already published by Czerny and Mayo in 1884 and 1904, respectively, but it is evaluated as a conventional
surgery. The first rectal resection intended for radical treatment is generally known to have been performed
[1]
by WE Miles in 1907 .

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
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sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
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