Total mesorectal excision (TME) is a widely accepted golden rectal cancer surgery standard. In low rectal cancer, there are a lot of important concerns related to sphincter saving, positive resection margins and similar aspects. We present a case of 52 year old female, who underwent a successful hybrid transanal and laparoscopic hand-assisted TME for low rectal cancer. Trials to delineate proper indications for low rectal cancer of robotic TME, transanal TME (Ta TME) and hybrid transanal plus laparoscopic TME are needed.
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