Hybrid transanal and total mesorectal excision after transanal endoscopic microsurgery for unfavourable early rectal cancer: a report of two cases
Oncology
Narimantas E. Samalavičius
Audrius Dulskas
Kęstutis Petrulis
Alfredas Kilius
Renatas Tikuišis
Raimundas Lunevičius
Published 2017-11-12
https://doi.org/10.6001/actamedica.v24i3.3553
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Keywords

rectal cancer
transanal endoscopic microsurgery
completion surgery
total mesorectal excision
laparoscopic surgery

How to Cite

Samalavičius N. E., Dulskas A., Petrulis K., Kilius A., Tikuišis R. and Lunevičius R. (2017) “Hybrid transanal and total mesorectal excision after transanal endoscopic microsurgery for unfavourable early rectal cancer: a report of two cases”, Acta medica Lituanica, 24(3), pp. 188-192. doi: 10.6001/actamedica.v24i3.3553.

Abstract

Completion total mesorectal excision (TME) is a rare but complex procedure after transanal endoscopic microsurgery for early rectal cancer with unfavourable final histology. Two cases are reported when completion TME was performed after upfront transanal partial mesorectal dissection. Intact non-perforated TME specimens with negative and adequate distal and circumferential margins were created. The quality of both total mesorectal excisions was complete and distal margins were sufficient. We believe that our technique might be a way of approaching completion TME after TEM, especially in cases of low rectal cancer.
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