Reverse TME: The “Bottom-UP” Approach to Low Rectal Cancer

  • Maria Clara Arroyave
  • F. Borja de Lacy
  • Antonio M. LacyEmail author


Colorectal cancer is the third most common type of cancer diagnosed in United States, and with rectal cancer accounting for approximately the 30% of the cases. In 2016, the American Cancer Society estimated almost 40,000 of new rectal cancer cases, the majority undergoing surgery – a surgery that has traditionally been difficult, especially in cases of obesity, males and with narrow pelvis. The oncologic cornerstone of this surgery is the removal of the mesorectum as an intact specimen en-bloc with a margin-free tumour. Systematic adherence to this principle has been proven to prolong survival and reduce locoregional recurrence.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Maria Clara Arroyave
    • 1
  • F. Borja de Lacy
    • 2
  • Antonio M. Lacy
    • 3
    Email author
  1. 1.Department of Surgical OncologyAIS Channel, Clinica SomerRionegroColombia
  2. 2.Department of Gastrointestinal SurgeryICMDM, AIS Channel, Hospital ClínicBarcelonaSpain
  3. 3.Department of Gastrointestinal SurgeryICMDM, IDIBAPS, CIBEREHD, AIS Channel, Hospital Clínic, Universitat de BarcelonaBarcelonaSpain

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