Operative Details of Laparoscopic Rectal Resection for Cancer

  • Martin R. WeiserEmail author


Laparoscopic proctectomy for cancer presents several technical challenges due to the bony confines of the pelvis, close proximity of adjacent structures, potential for large tumors, and limitations of currently available technology. By understanding the anatomy and utilizing a stepwise, reproducible technique, you can minimize the inherent difficulty and potential pitfalls associated with this procedure. In this chapter, I will describe a technique of laparoscopic proctectomy, highlight potential challenges you may encounter, and outline strategies to deal with them.


Total Mesorectal Excision Inferior Mesenteric Artery Inferior Mesenteric Vein Sacral Promontory Endoscopic Stapler 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 10.1

Straight laparoscopic proctectomy. Video by Sang Lee, MD (MP4 111,301 kb)

Video 10.2

Laparoscopic transection of the distal rectum. Video by Brad Champagne, MD (MOV 17,720 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkUSA

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