Abstract
This chapter describes the detailed steps for a standard total mesorectal excision (TME) as applied during low anterior resection (LAR) for rectal cancer. The extent and approach (open versus minimally invasive) chosen for the resection may vary depending on the specifics (e.g., size) and the exact location of the target pathology (upper, middle, or lower third of the rectum). Multimodality treatment and possibly the presence of underlying risk constellations (hereditary cancer, inflammatory bowel disease) may affect the decision-making. This chapter includes information on indications, pitfalls and danger points, preoperative preparation, postoperative care, and complications. Detailed operative strategy and technique are included.
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Further Reading
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Cologne, K.G., Senagore, A.J., Kaiser, A.M. (2022). Total Mesorectal Excision/Low Anterior Resection (Open, Laparoscopic). In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_59
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DOI: https://doi.org/10.1007/978-3-030-81415-1_59
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