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Laparoscopic low anterior resection for rectal cancer in a female patient

J Leroy, MD, FRCS
Epublication WebSurg.com, Jun 2005;05(06). URL: http://websurg.com/doi/vd01en0046e

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  • 2005-06-23
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This video demonstrates a laparoscopic TME of rectal cancer in a woman. The surgeon carries an extensive mobilization of the sigmoid colon and rectum. The IMA is divided at its root. The ureter, gonadal vessels and the hypogastric nerves are identified. The mesorectal dissection is carried out in the planes down to the pelvic floor. The rectum is divided just proximal to the pelvic floor. The splenic flexure is mobilized before the specimen is exteriorized through a suprapubic incision and a stapled anastomosis is made between the proximal sigmoid and the rectal cuff. A protective stoma is created.