IBD Surgical Outcome Registry

Pilot Training Initiative for TaTME

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), commenced in September 2017.

The following teams were selected to participate in the pilot, based on previous experience and skill in laparoscopic rectal resection, evidence of appropriate case volume and senior management support at each NHS trust:

  1. Heartlands Hospital (Lead Surgeon: David McArthur)
  2. Dorset County Hospital (Lead Surgeon: Anjay Talwar)
  3. St Helens & Knowsley Teaching Hospitals (Lead Surgeon: Michael Chadwick)
  4. York Teaching Hospital (Lead Surgeon: Dib Bandyopadhyay)
  5. Derriford Hospital (Lead Surgeon: Mark Coleman)

The project has now delivered the necessary mentored TATME cases and the pilot sites are preparing to submit operative video for their completion assessment. The clinical and educational outcomes are being analysed for publication in a peer-reviewed journal and presentation at the next ACPGBI conference.  It is anticipated that all of the pilot sites will complete the training initiative by autumn 2019.

We are delighted to announce an extension to this initiative, to allow TATME training for an additional five colorectal teams in the UK, which were selected using the same rigorous criteria:

  1. Northumbria NHS Trust (Lead Surgeon: Ben Box)
  2. Nottingham University Hospital (Lead Surgeon: Austin Acheson)
  3. St Richards Hospital, Chichester (Lead Surgeon: Bruce Levy)
  4. Torbay Hospital (Lead Surgeon: Adam Kimble)
  5. Ulster Hospital (Lead Surgeon: Conor Warren)

The next round of training will include:

  • Completion of the in-depth modules of the iLapp surgery TATME teaching tool
  • Attendance at a cadaveric workshop in July 2019
  • Clinical mentorship through the initial cases, with face to face coaching and telementoring when appropriate
  • Inclusion of assessment data and clinical outcomes in the TATME registry
  • Final objective assessment of performance for each colorectal team

If you would like further information about this training initiative, please contact the Project Manager, Dr Fiona Carter [email protected]

Follow the initiative on twitter @TATMEtrainingUK

Clinical Lead: Roel Hompes, Consultant Colorectal Surgeon, University Medical Centre, Amsterdam

Educational Lead: Nader Francis, Consultant Colorectal Surgeon at Yeovil and Honorary Professor, University of Bath

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

Steering Board: Roel Hompes, Nader Francis, Neil Mortensen, George Hanna, ACPGBI President, Nick West, TATME Tutors, Marta Penna, Fiona Carter, Stephanie Wood, Jaap Doeve, John Black, Ivan Theobald, Matt Conduit

TATME Tutors: Roel Hompes, Tony Miles, Henk Wegstapel, Gregg Wynn, Steve Arnold, Danilo Miskovic, Ken Campbell, Mark Katory, Dorin Ziayie, Stephen Dalton, Deborah Nicol