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Low Anterior Resection for Carcinoma Below the Peritoneal Reflection

  • Nora A. Royer
  • Bashar Safar
  • Steven D. Wexner
  • Amanda Ayers
  • Jeffrey L. Cohen

Low anterior resection presents several attractions for the laparoscopic surgeon. First, the unparalleled visualization and exposure that are attained when laparoscopic surgery goes well would seem to facilitate careful dissection in the deep recesses of the pelvis (where visualization during open surgery can be problematic). Second, the anastomosis can be performed by transanal insertion of a circular stapling device, minimizing the length of incision required to complete the procedure.

However, the procedure is fraught with potential complications, including the long-term risk of local recurrence. This chapter explores the issues related to choice of laparoscopic versus open approach for carcinoma below the peritoneal reflection.

Keywords

Rectal Cancer Laparoscopic Approach Total Mesorectal Excision Laparoscopic Resection Laparoscopic Total Mesorectal Excision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Nora A. Royer
    • 1
  • Bashar Safar
    • 2
  • Steven D. Wexner
    • 2
  • Amanda Ayers
    • 3
  • Jeffrey L. Cohen
    • 4
  1. 1.Department of SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.Department of Colorectal SurgeryCleveland Clinic FloridaWestonUSA
  3. 3.Department of General SurgeryUniversity of Connecticut, Integrated General Surgery ResidencyFarmingtonUSA
  4. 4.University of ConnecticutHartfordUSA

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