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Related Experiment Video

Updated: Mar 19, 2026

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

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

Published on: February 12, 2022

[Laparoscopic rectal resection technique].

M Anthuber¹, B Kriening², M Schrempf²

¹Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr.2, 86156, Augsburg, Deutschland. anthuber@klinikum-augsburg.de.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen

|June 10, 2016

Summary

This summary is machine-generated.

Laparoscopic surgery for rectal cancer offers a safe and effective alternative to open procedures. This minimally invasive approach, when performed adhering to established standards, yields comparable oncological outcomes and enhances patient quality of life.

Keywords:

Conversion to open surgery Laparoscopic surgery Minimally invasive surgery Rectal cancer Surgical technique

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Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

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Published on: June 13, 2025

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.