Laparoscopic total mesorectal excision (TME) for cancer
The description of the laparoscopic total mesorectal excision (TME) for cancer covers all aspects of the surgical procedure used for the management of rectal cancer. Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: exploration, exposure, vascular approach, risk of nerve damage, mobilization of sigmoid colon, mobilization of upper rectum, dissection of lower rectum, splenic flexure, division of rectosigmoid, extraction, direct anastomosis, J-shaped anastomosis. Consequently, this operating technique is well standardized for the management of this condition.