New Surgical Modalities in the Management of Rectal Cancer

  • Deeksha Kapoor
  • Amanjeet Singh
  • Adarsh Chaudhary
Part of the GI Surgery Annual book series (GISA, volume 25)


Colorectal cancer is the third most commonly diagnosed cancer worldwide. It accounts for over 8% of all cancer deaths, making it the fourth most common cause of cancer-related deaths. Professor Bill Heald was the first to describe the technique of total mesorectal excision (TME) in 1982. His landmark publication in 1986, revolutionized surgery for rectal cancer and TME, became the gold standard surgical technique for rectal cancer [1]. A complete total mesorectal excision, with intact mesorectal fascia and no invasion into the muscular coat, is the desired endpoint of any oncological procedure for carcinoma rectum. It is associated with decreased local recurrence and improved cancer-specific survival which is an important positive prognostic factor against local tumour recurrence and also for cancer-specific survival [2–4]. This era of TME has evolved from the traditional “open” approach to minimal access surgeries, such as laparoscopy, robotics and more recently the transanal approach.


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Copyright information

© Indian Association of Surgical Gastroenterology 2019

Authors and Affiliations

  • Deeksha Kapoor
    • 1
  • Amanjeet Singh
    • 1
  • Adarsh Chaudhary
    • 1
  1. 1.Department of GI Surgery, GI Oncology and Minimal Access SurgeryMedanta-The MedicityGurgaonIndia

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