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Updated: Aug 5, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Modified abdominotransanal resection for cancer of the lower third of the rectum
Abstract:
A combined abdominoperineal approach is described in which not only coloanal anastomosis but also bowel transection were performed through the anus. It is most suitable for cancer located 4 to 6 cm from the anal verge. The main advantages of the technique are precise lines of bowel transection with desired distal clearance of tumor, and easier and safer mobilization of the distal end of the rectum during the abdominal phase of the procedure.
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