Transanal Total Mesorectal Excision for Low Rectal Cancer

• Published in: Journal of minimally invasive surgery Vol. 19; no. 2; pp. 79 - 80
• Main Authors: Kim, Chang Woo, Chung, Yoona, Park, Sun Jin, Lee, Kil Yeon, Lee, Suk-Hwan
• Format: Journal Article
• Language: English
• Published: 대한내시경복강경외과학회 15.06.2016
• Subjects: 일반외과학
• ISSN: 2234-778X; 2234-5248
• DOI: 10.7602/jmis.2016.19.2.79

A 70-year-old female patient was diagnosed with low rectal adenocarcinoma (cT3N2) based on the initial CT and MRI. The patient underwent neoadjuvant chemoradiotherapy: short course radiotherapy with FL chemotherapy. Additional 3 cycles of FL were given every 2 weeks to the patient during the resting period (8 weeks) until the surgery (i.e. consolidation chemotherapy). For transanal TME, purse-string suture of distal rectum was performed just above the dentate line. Transanal circumferential dissection including the mesorectum was performed from the dentate line until the peritoneal reflection. Thereafter, laparoscopic dissection was performed using medial to lateral approach and the inferior mesenteric artery was ligated at the pedicle. Lateral detachment and splenic flexure mobilization were completed. After full mobilization of the distal transverse colon and rectum, the specimen was retrieved through the anus and resected. Colo-anal anastomosis was performed by hand-sewn method. A closed suction drain was inserted into the pelvis. KCI Citation Count: 0