Laparoscopic transanal total mesorectal excision (taTME) for middle rectal cancer
Epublication WebSurg.com, Nov 2019;19(11). URL: http://websurg.com/doi/vd01en5698
This is the case of a 55-year-old man who presented with rectal bleeding. Colonoscopy detected a mass in the middle rectum, 6cm from the anal verge (AV). Biopsy results revealed the presence of an adenocarcinoma. Pelvic MRI and abdominal CT-scan showed no distant metastases, a T3N1M0 tumor 6cm from the anal verge, and an intact mesorectal fascia. After 8 weeks of neoadjuvant chemoradiation therapy (CRT), a minimally invasive low anterior resection with transanal total mesolectal excision was performed. A one-team abdomen-first approach is performed.