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Related Experiment Video

Updated: May 15, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Laparoscopic total mesorectal excision.

A Khanna1

  • 1Department of Surgery, Temple University Hospital, 3401 North Broad Street, 4th Floor Zone C, Philadelphia, PA 19140, USA. amit.khanna@tuhs.temple.edu

Techniques in Coloproctology
|January 8, 2013
PubMed
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This study details the surgical technique for total mesorectal excision (TME) in rectal cancer patients. Laparoscopic TME shows improved short-term outcomes compared to open surgery, though long-term data are still limited.

Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Rectal cancer treatment often involves total mesorectal excision (TME).
  • Laparoscopic approaches are increasingly explored for TME.
  • Evidence on long-term outcomes of laparoscopic TME is still developing.

Purpose of the Study:

  • To describe the authors' specific operative technique for laparoscopic total mesorectal excision (TME).
  • To review current evidence supporting laparoscopic TME for rectal cancer.
  • To discuss factors influencing the decision to use laparoscopy for rectal cancer surgery.

Main Methods:

  • Description of the authors' standardized laparoscopic TME surgical procedure.
  • Review of existing literature and clinical data on TME outcomes.
  • Discussion of clinical considerations for surgical approach selection.

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

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Last Updated: May 15, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Main Results:

  • Laparoscopic TME demonstrates improved short-term outcomes compared to open resection.
  • Long-term oncological and functional outcome data for laparoscopic TME are limited but emerging.
  • Ongoing clinical trials are expected to provide further long-term data.

Conclusions:

  • The described laparoscopic TME technique is presented.
  • Laparoscopic TME offers potential short-term benefits for rectal cancer patients.
  • The choice between laparoscopic and open TME requires careful consideration of patient factors, surgeon expertise, and resources.