Proctectomy and Rectopexy: Laparoscopic Approach

  • Kyle G. CologneEmail author
  • Anthony J. Senagore


Procedures in the lower rectum can be particularly challenging for any surgeon. The bony pelvis constricts the amount of space available, particularly in males. Finding the right plane can be a difficult experience but is of paramount importance as it has oncologic, functional, and anatomic implications. This chapter seeks to explore three rectal procedures in depth: low anterior resection (LAR), abdominoperineal resection (APR), and rectopexy. Our goal is to describe techniques, pitfalls, and pearls that help the pelvic surgeon complete these procedures safely and efficiently.


Proctectomy Rectopexy Laparoscopic approach Colorectal surgery 

Supplementary material

Video 17.1

Laparoscopic total mesorectal excision (TME) (MP4 139118 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Colorectal SurgeryKeck Hospital of the University of Southern CaliforniaLos AngelesUSA
  2. 2.Department of SurgeryCentral Michigan University, School of MedicineSaginawUSA

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