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Reverse TME: The “Bottom-UP” Approach to Low Rectal Cancer

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Comprehensive Rectal Cancer Care

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Abstract

Colorectal cancer is the third most common type of cancer diagnosed in United States, and with rectal cancer accounting for approximately the 30% of the cases. In 2016, the American Cancer Society estimated almost 40,000 of new rectal cancer cases, the majority undergoing surgery – a surgery that has traditionally been difficult, especially in cases of obesity, males and with narrow pelvis. The oncologic cornerstone of this surgery is the removal of the mesorectum as an intact specimen en-bloc with a margin-free tumour. Systematic adherence to this principle has been proven to prolong survival and reduce locoregional recurrence.

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Author information

Authors and Affiliations

  1. Department of Surgical Oncology, AIS Channel, Clinica Somer, Rionegro, Colombia

    Maria Clara Arroyave

  2. Department of Gastrointestinal Surgery, ICMDM, AIS Channel, Hospital Clínic, Barcelona, Spain

    F. Borja de Lacy

  3. Department of Gastrointestinal Surgery, ICMDM, IDIBAPS, CIBEREHD, AIS Channel, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain

    Antonio M. Lacy

Authors
  1. Maria Clara Arroyave
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  2. F. Borja de Lacy
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  3. Antonio M. Lacy
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Corresponding author

Correspondence to Antonio M. Lacy .

Editor information

Editors and Affiliations

  1. University of California, Los Angeles, Los Angeles, CA, USA

    Mary Kwaan

  2. University of Melbourne, Victoria, VIC, Australia

    Andrew Zbar

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Arroyave, M.C., de Lacy, F.B., Lacy, A.M. (2019). Reverse TME: The “Bottom-UP” Approach to Low Rectal Cancer. In: Kwaan, M., Zbar, A. (eds) Comprehensive Rectal Cancer Care. Springer, Cham. https://doi.org/10.1007/978-3-319-98902-0_10

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  • DOI: https://doi.org/10.1007/978-3-319-98902-0_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98901-3

  • Online ISBN: 978-3-319-98902-0

  • eBook Packages: MedicineMedicine (R0)

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