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Updated: May 16, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Early rectal cancer: local excision by Trans-anal Endoscopic Microsurgery (T.E.M.)
Introduction:
The microscopic trans-anal surgery is an important application of the mininvasive surgery of the rectum. The evaluation of the linfonodular involvement represents a limit to the conservative procedure.
Patients And Methods:
Between January 2004 to December 2010, 14 patients have been chosen and undergone surgery with mininvasive treatment for primary rectum cancer (early rectal cancer).
Results:
After a follow-up of about 36 months (8-72) we encountered only one local recurrences on a patient with a T2 lesion, also treated with mininvasive treatment.
Conclusion:
The results obtained by us using the T.E.M. have been all around very encouraging for the treatment of early rectal cancer.
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