Abstract
Rectal resection with total mesorectal excision is perhaps the most technically challenging of laparoscopic procedures, and the purpose of this study was to show that laparoscopic ultralow anterior resection is feasible for lower rectal cancer. Seven patients with lower rectal cancer were treated in this way with a satisfactory outcome in each case, and on the basis of this limited study, we suggest that extension of laparoscopy to the treatment of very low rectal lesions may be of advantage.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Teramoto T, Watanabe M, Kitajima M.Per anum intersphincteric rectal dissection with direct coloanal anastomosis for lower rectal cancer: the ultimate sphincterpreserving operation. Dis Colon Rectum 1997;40:S43–7.
Lezoche E, Paganini AM, Feliciotti F. A new technique to laparoscopic resection of low rectal tumors. Surg Laparosc Endosc 1997;7:9–12.
Phillips RK. Adequate distal margin of resection for adenocarcinoma of the rectum. World J Surg 1992;16:463–6.
Heald RJ, Ryall RD. Recurrence and survival after total mesorectal excision for rectal cancer. Lancet 1986;28:1479–82.
MacFarlane JK, Ryall RD, Heald RJ. Mesorectal excision for rectal cancer. Lancet 1993;20:457–60.
Ramos JR. Laparoscopic very low anterior resection and coloanal anastomosis using the pull-through technique. Dis Colon Rectum 1995;38:1217–9.
Author information
Authors and Affiliations
About this article
Cite this article
Watanabe, M., Teramoto, T., Hasegawa, H. et al. Laparoscopic ultralow anterior resection combined withPer Anum intersphincteric rectal dissection for lower rectal cancer. Dis Colon Rectum 43 (Suppl 10), S94–S97 (2000). https://doi.org/10.1007/BF02237232
Issue Date:
DOI: https://doi.org/10.1007/BF02237232