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Updated: Aug 20, 2026
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Laparoscopic vs open total mesorectal excision for rectal cancer: an evaluation of the mesorectum's macroscopic
S O Breukink1, A J K Grond, J P E N Pierie
1Department of Surgery, Groningen University Hospital, Postbus 30001, 9700 RB, Groningen, The Netherlands. S.Breukink@planet.nl
Background:
Next to surgical margins, yield of lymph nodes, and length of bowel resected, macroscopic completeness of mesorectal excision may serve as another quality control of total mesorectal excision (TME). In this study, the macroscopic completeness of laparoscopic TME was evaluated.
Methods:
A series of 25 patients with rectal cancer were managed laparoscopically (LTME) and included in this study. The pathologic specimens of the LTME group were prospectively examined and matched with a historical group of resection specimens from patients who had undergone open TME (OTME). The two groups were matched for gender and type of resection (low anterior or abdominoperineal resection). Special care was given to the macroscopic judgment concerning the completeness of the mesorectum.
Results:
A three-grade scoring system showed no differences between the LTME and OTME groups.
Conclusion:
The current study supports the hypothesis that oncologic resection using laparoscopic TME is feasible and adequate.
