[Laparoscopic rectal resection technique]

Area of Science:

• Colorectal Surgery
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Total mesorectal excision (TME) and nerve preservation are crucial for rectal cancer treatment outcomes.
• Laparoscopic TME has been used in Germany for nearly 20 years, but its adoption rate is low (estimated <20%).
• Evidence suggests minimally invasive approaches offer early benefits without compromising long-term oncological results, provided surgeons complete the learning curve.

Purpose of the Study:

• To present a refined laparoscopic technique for rectal cancer surgery developed over 17 years and 1000+ patients.
• To advocate for the laparoscopic approach as a viable alternative to open surgery for rectal cancer.

Main Methods:

• Description of a specific laparoscopic total mesorectal excision (TME) technique.
• Experience-based presentation drawing from over 1000 patient cases.

Main Results:

• The presented laparoscopic technique has been refined over 17 years.
• Over 1000 patients have undergone this laparoscopic procedure.
• The authors' experience supports the laparoscopic approach as a suitable alternative to open surgery.

Conclusions:

• Laparoscopic TME is a highly recommended alternative to open surgery for rectal cancer.
• Successful implementation requires adherence to the standards of open surgery.
• The technique offers comparable oncological results and improved quality of life.