Laparoscopic Exposure of Critical Anatomy in Rectal Cancer Surgery: Techniques and Examples

Chapter

Abstract

Laparoscopic colorectal surgery has considerably evolved over the past 20 years, with the development of an organized approach to performing laparoscopic colorectal surgery. During the past few decades, there have been significant improvements in outcome for rectal cancer with the introduction of total mesorectal excision (TME) for resection of low and mid rectal cancers. While laparoscopic colectomy for colon cancer is highly accepted, there has been a slower progression to acceptance of laparoscopic proctectomy for rectal cancer. Laparoscopic resection of rectal cancer has been primarily performed by highly experienced laparoscopic colorectal surgeons and has achieved acceptable short-term outcomes and long-term safety. However, with the proper technique and experience, laparoscopy offers superb visualization of the pelvic cavity, allowing for meticulous rectal mobilization and resection.

Keywords

Laparoscopy Critical anatomy Rectal cancer surgery Total mesorectal excision 

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Copyright information

© Springer Japan 2018

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryCleveland Clinic FloridaWestonUSA

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