The role of total mesorectal excision in rectal cancer surgery
2001 (English)In: European Journal of Surgical Oncology, ISSN 0748-7983, Vol. 27, no 5, 440-441 p.Article in journal (Refereed) Published
A subtotal mesorectal excision with straight colorectal anastomosis should be done when the resection line is located 7 cm or more from the anal verge with a distal margin to the tumour of at least 3 cm. Subtotal TME combined with closure of the rectum and a colostomy (Hartmann's procedure) is performed at any level provided it is oncologically acceptable. TME with restorative surgery by a pouch-anal anastomosis is used for lower lesions not allowing an anastomosis at least 7 cm from the anal verge. TME with a low Hartmann's procedure is performed in patients with disseminated disease, other high risk patients, and when the anal sphincter function is inadequate. Abdomino-perineal resection (with the TME technique) is performed when the anal canal is infiltrated by tumour. TME is indicated in all rectal cancers which can be palpated.
Place, publisher, year, edition, pages
2001. Vol. 27, no 5, 440-441 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-25360DOI: 10.1053/ejso.2000.1082Local ID: 9802OAI: oai:DiVA.org:liu-25360DiVA: diva2:245689