Pilot Training Initiative for TaTME

Invitation to pilot sites

Transanal Total Mesorectal Excision (TaTME) is a novel access technique which has attracted substantial interest amongst colorectal surgeons throughout the world. Suggested benefits include better short- and long-term outcomes for selected patients with mid- and/or low rectal cancer.

The ACPGBI is keen that the introduction of this procedure should be carefully planned and that surgeons should be well trained and confident to optimize patient outcomes.  An initial pilot training programme, funded by Applied Medical, ConMed, Lawmed, Stryker, Medtronic and supported by the Oxford Colorectal Cancer Trust (OCCTOPUS), will commence in September 2017.

Clinical Lead: Roel Hompes, Consultant Colorectal Surgeon at Oxford

Educational Lead: Nader Francis, ACPGBI Educational Tutor and Consultant Colorectal Surgeon at Yeovil

Academic Advisor: George Hanna, Professor of Surgical Science, Imperial College London

Five NHS colorectal teams will be selected to undertake this 12-month pilot training programme, which will include:- Completion of a TATME learning app

– Case observations by surgical team of pilot site (2 surgeons and scrub nurses)
– Attendance at a cadaveric workshop
– Clinical mentorship through the initial cases (estimated 4-6 cases)
– Inclusion of assessment data and clinical outcomes in the TATME registry
– Final assessment and sign off for each colorectal team

NHS Colorectal teams wishing to register for training in TATME must fulfil the following criteria:

– Agreed business case for provision of a TATME service
Necessary infrastructure and equipment
– Support from the trust at senior management level
– Sufficient volume of appropriate cases (20-30 TME procedures per year for cancer) within unit and letter of support from clinical or medical director
– Competence in laparoscopic rectal resections (competency will be assessed by objective review of an unedited video of full case)
– Colorectal teams must include two consultant surgeons, who will operate in partnership and complete the training programme together.
– The application deadline was 30th June 2017. Submissions from potential pilot centres are currently being reviewed, with final decisions due in late August 2017.

For more information, please contact the Project Manager, Dr Fiona Carter, on 03300010849 or Fiona.j.carter@gmail.com

Follow the initiative on twitter @TATMEtrainingUK

Steering Board: Roel Hompes, Nader Francis, Neil Mortensen, George Hanna, Brendan Moran, Professor Gina Brown, James Wheeler, ACPGBI President, Nick West, TATME Tutors, Marta Penna, Lian Lee, Fiona Carter, Stephanie Wood, Elizabeth Jones, Jaap Doeve, Jakob Andree, John Black, Len Wilby, Ivan Theobald, Ashley Henderson, Ben Greaves, Matt Conduit

TATME Tutors: Roel Hompes, Tony Miles, Henk Wegstapel, Gregg Wynn, Ralph Austin, Steve Arnold, Danilo Miskovic, Ken Campbell, Janindra Warusavitarne, Mark Katory