Hybrid transanal and laparoscopic TME after TEM for unexpected T2 rectal cancer
Fotografinis operacijos pristatymas
Narimantas Evaldas Samalavičius
Audrius Dulskas
Vygintas Aliukonis
Rokas Račkauskas
Alfredas Kilius
Ugnius Mickys
Published 2016-12-22
https://doi.org/10.15388/LietChirur.2016.4.10281
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How to Cite

1.
Samalavičius NE, Dulskas A, Aliukonis V, Račkauskas R, Kilius A, Mickys U. Hybrid transanal and laparoscopic TME after TEM for unexpected T2 rectal cancer. LS [Internet]. 2016Dec.22 [cited 2022Jul.7];15(4):165-6. Available from: https://www.journals.vu.lt/lietuvos-chirurgija/article/view/10281

Abstract

A 57-year-old woman underwent transanal endoscopic microsurgery (TEM) for T1 rectal cancer. Final histology demonstrated T2 invasion (Figure 1). A total mesorectal excision (TME) was recommended. Operation started in a prone-jacknife position performing partial TME from below (Figure 2, 3). The mobilized rectum (Figure 4) and rectal stump (Figure 5) were closed with purse-string sutures. A completion laparoscopic TME was performed with colonic J pouch anal stapled anastomosis. An intact rectal specimen was achieved (Figure 6).

 

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