Laparoscopic Technique for Low Anterior Resection

  • Marta Jiménez Toscano
  • Antonio M. LacyEmail author


Total mesorectal excision (TME) is the standard surgical treatment for rectal cancer. Studies suggest that compared with open resection, laparoscopic TME provides similar oncologic outcomes while reducing hospital stay, minimizing recovery time, and improving cosmesis. The smaller abdominal incisions may also decrease the risk of wound infections and incisional hernia formation. In fact, the laparoscopic technique facilitates the surgical process by allowing for increased maneuverability and enhanced visualization within the surgical field of the pelvis. In this chapter, we focus on the major elements of laparoscopic low anterior resection and TME, highlighting the capability of achieving a laparoscopic approach to produce a favorable oncologic outcome.


Rectal cancer Total mesorectal excision Laparoscopic Low anterior resection 

Supplementary material

Video 21.1

In this video, the surgeon demonstrates his approach to laparoscopic low anterior resection. (MP4 1507506 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Gastrointestinal SurgeryUniversity of Barcelona School of Medicine, Clinic Hospital, Quiron HospitalBarcelonaSpain
  2. 2.Centro Esther KoplowitzUniversity of BarcelonaBarcelonaSpain

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