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Laparoscopic Low Anterior Resection for Rectal Cancer: TME Planes and Surgery of the Upper and Mid-Rectum

  • Eric M. HaasEmail author
  • Amanda V. Hayman
Chapter

Abstract

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.

Keywords

Low anterior resection (LAR) Total mesorectal excision (TME) Tumor-specific mesorectal excision (TSME) Laparoscopic proctectomy Rectal cancer 

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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2020

Authors and Affiliations

  1. 1.Division of Colon and Rectal SurgeryHouston Methodist Hospital, Department of SurgeryHoustonUSA
  2. 2.The Oregon Clinic, Division of Gastrointestinal and Minimally Invasive SurgeryOregon Health and Science University, Department of SurgeryPortlandUSA

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