Cover Picture: When the pelvic delamination is complete through TaTME, this space can serve as a common path for access into the abdominal cavity. Under these conditions, various organs and intestines can be accessed from the abdominal cavity and surgical procedures can be performed. This is NOTES if the resulting extract is removed through the anus. This procedure consists of three steps: anal, intraperitoneal, and second anal stage. In the first stage, TaTME takes place. In the second stage, vascular and mesenteric dissection is performed simultaneously with colonic mobilization. If necessary, splenic flexure mobilization is also performed. Finally, in the third stage, specimen pull through, transection, and anastomosis occur.
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