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Total Mesorectal Excision

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Rectal Cancer

Abstract

Total mesorectal excision (TME) is now the standard surgical technique for management of rectal cancer. This involves dissection in a well-defined anatomical plane with an embryological basis. TME has improved results of rectal cancer surgery all over the world. TME can safely be performed laparoscopically and the use of robot for TME is also gaining acceptance.

Understanding the anatomy of rectum is crucial to performing a good TME. The relationship of nerves and vessels around the mesorectum is well defined, and identification can reduce neurovascular complications associated with surgery. This chapter discusses the anatomy of mesorectum, advantages and complications of TME, and our technique of performing TME.

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Authors and Affiliations

  1. Consultant Surgeon and Honorary Senior Lecturer, University Hospital of South Manchester and The University of Manchester, MAHSC, Manchester, UK

    Abhi Sharma

  2. Florida Hospital System Center for Colon and Rectal Surgery, Florida Hospital Medical Group, 2415 N Orange Avenue, Orlando, FI, 32803, USA

    John Monson (Executive Director Colorectal Surgery and Professor of Surgery)

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  1. Abhi Sharma
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Correspondence to Abhi Sharma .

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Editors and Affiliations

  1. Department of Surgical Oncology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA

    George J. Chang

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Sharma, A., Monson, J. (2018). Total Mesorectal Excision. In: Chang, G. (eds) Rectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-16384-0_7

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  • DOI: https://doi.org/10.1007/978-3-319-16384-0_7

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