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

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Thiersch's operation for rectal prolapse management.

Gürel Neşşar¹, Felat Akıncı², Mustafa Kaan Gençalp³

¹Department of General Surgery, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Türkiye.

Turkish Journal of Surgery

|June 3, 2026

Summary

Thiersch

Keywords:

Proctology cerclage surgery technique

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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

Area of Science:

Colorectal surgery
Surgical techniques

Background:

Rectal prolapse is a condition requiring surgical intervention.
Thiersch's operation offers a less invasive approach for specific patient groups.

Purpose of the Study:

To demonstrate a simplified Thiersch's operation technique.
To present follow-up results of patients undergoing this procedure.

Main Methods:

Video demonstration of a simplified Thiersch's operation.
Surgical procedure performed under local anesthesia.
Follow-up assessment of patient outcomes.

Main Results:

The simplified Thiersch's operation was successfully demonstrated.
Follow-up data on patient outcomes were collected and analyzed.

Conclusions:

Thiersch's operation is a viable treatment for rectal prolapse, particularly in elderly patients.
This technique can serve as a temporary or definitive solution.