New surgical approaches are developed in several stages. The first one is the experimental phase to assess feasibility and safety, then its application in a daily clinical practice and achieving a proper learning curve.

In Barcelona (Spain), Antonio M. de Lacy and his team have been involved in the development of the transanal approach for rectal diseases. He first tested it with Patricia Sylla on cadavers and in the first case in a real patient. Since then, the approach has been developed and applied to other pathologies such as ulcerative colitis, colonic polyposis affecting the rectum, Hartmann's reversal and complex cases with previous colorectal surgeries suffering from chronic sinus, stenotic anastomosis or local relapse of cancer or polyps.

This lecture focuses on the Barcelona experience with the transanal approach.

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Dr. Antonio M. de Lacy MD, PhD, FACS (Hon), FASCRS (Hon), IQL Director, Department of Surgery, Hospital Quirón Barcelona, Hospital Ruber Internacional Madrid and Clínica Rotger Palma de Mallorca; AIS Founder and President, Spain General Surgery

Dr. Patricia Sylla MD, FACS, FASCRS, Past President of SAGES; Professor of Surgery, Icahn School of Medicine; System Chief of Colon and Rectal Surgery, Mount Sinai Health System, USA Colorectal Surgery