Laparoscopic Low Anterior Resection and Total Mesorectal Excision
All patients should receive preoperative counselling and preparation in line with Enhanced Recovery After Surgery (ERAS) guidelines. All patients should receive counselling about stoma formation and potential stoma sites should be marked appropriately before surgery. Ideally, preoperative stoma care training should be undertaken. The use of bowel preparation before rectal surgery remains controversial. Our policy is to administer full mechanical bowel preparation using sodium picosulphate or polyethylene glycol preparations for patients undergoing total mesorectal excision (TME) surgery or any anterior resection of the rectum when a defunctioning ileostomy is planned. Otherwise, a preoperative phosphate enema is administered to empty the rectum and left colon.
KeywordsLaparoscopy TME Rectal resection Surgical technique
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