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    The content on this page is not current guidance and is only for the purposes of the consultation process.

    Transanal total mesorectal excision for rectal cancer

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    Interventional procedures consultation document

    Rectal cancer affects the end part of the bowel (rectum). In this procedure, the whole rectum is removed (total mesorectal excision). This is done using instruments introduced through the anus (transanal) and by keyhole surgery through the abdomen. The aim is to remove all the cancer.

    NICE is looking at transanal total mesorectal excision for rectal cancer. This is a review of NICE's interventional procedures guidance on transanal total mesorectal excision of the rectum.

    NICE's interventional procedures advisory committee met to consider the evidence and the opinions of professional experts, who are consultants with knowledge of the procedure.

    This document contains the draft guidance for consultation. Your views are welcome, particularly:

    • comments on the draft recommendations

    • information about factual inaccuracies

    • additional relevant evidence, with references if possible.

    NICE is committed to promoting equality of opportunity, eliminating unlawful discrimination and fostering good relations between people with particular protected characteristics and others.

    This is not NICE's final guidance on this procedure. The draft guidance may change after this consultation.

    After consultation ends, the committee will:

    • meet again to consider the consultation comments, review the evidence and make appropriate changes to the draft guidance

    • prepare a second draft, which will go through a resolution process before the final guidance is agreed.

    Please note that we reserve the right to summarise and edit comments received during consultation or not to publish them at all if, in the reasonable opinion of NICE, there are a lot of comments or if publishing the comments would be unlawful or otherwise inappropriate.

    Closing date for comments: 19 August 2021

    Target date for publication of guidance: December 2021