Laparoscopic low anterior resection with total mesorectal excision for rectal cancer.
Rectal resections are the only treatment with curative intent currently accepted world wide. When performed in elective circumstances, laparoscopic rectal excision is technically feasible in surgical approach of mid-rectal cancer in a considerable number of patients. There are many benefits of the laparoscopic approach to rectal resection such as short hospitalization, less pain, less postoperative complications and improved quality of life. However, one mandatory condition in laparoscopic resection of rectum includes complete excision of the rectum and mesorectum, generally ensuring a minimal distal margin of 2cm and circumferential radial clearance before performing a coloanal anastomosis. Here, we present a laparoscopic approach for rectal cancer treatment consisting in a wide resection of the rectum, including the entire fascia with the enclosed mesentery of the rectum.
Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Florin
F
Zaharie
Lucian
L
Mocan
Claudiu
C
Tomus
Roxana
R
Zaharie
Cornel
C
Iancu
D000714:Anastomosis, Surgical; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004210:Dissection; D006801:Humans; D010535:Laparoscopy; D008026:Ligation; D018365:Neoplasm, Residual; D056888:Patient Positioning; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome