Laparoscopic Low Anterior Resection for Rectal Cancer: TME Planes and Surgery of the Upper and Mid-Rectum
Despite years of literature demonstrating the safety, feasibility, and benefit of a minimally invasive surgical approach to colon cancer, half of the colectomies in the USA are still performed via an open approach. In this chapter, we will outline the workup, surgical setup, and operative steps for laparoscopic low anterior resection with special considerations for mid- and upper rectal cancers. We also provide tips for exposing the proper planes and how to avoid common intraoperative missteps. Our goal is to equip the novice minimally invasive surgeon with the tools needed to safely perform laparoscopic colorectal resections.
KeywordsLow anterior resection (LAR) Total mesorectal excision (TME) Tumor-specific mesorectal excision (TSME) Laparoscopic proctectomy Rectal cancer
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