Surgical Technique and Difficult Situations from Matthias Anthuber

Abstract

According to today’s literature, primary rectal cancers that have not yet infiltrated into adjacent organs can successfully be resected laparoscopically. The lead surgeon has to be well trained and experienced in minimally invasive procedures and techniques. Although minimally invasive, the laparoscopic approach has to equally follow all principles of cancer surgery that are well established for the open approach. The surgical steps for every procedure are defined preoperatively and can vary according to the training the lead surgeon went through. However, these variations in surgical steps should neither influence the early postoperative results nor the oncological long-term results.