Definition of Total Mesorectal Excision, Including the Perineal Phase: Technical Considerations
نویسندگان
چکیده
منابع مشابه
Total mesorectal excision: technical aspects.
Total mesorectal excision (TME) is a precise dissection of the rectum and all pararectal lymph nodes within an oncologic package: the mesorectal envelope. This article is a brief description of the technical aspects of the dissection, illustrated by cadaver dissection. Here the TME dissection is organized into 6 steps to facilitate learning: (1) left retroperitoneum; (2) superior rectal and inf...
متن کامل[Transanal total mesorectal excision].
Indications for transanal endoscopic microsurgery (TEM) have evolved since surgery for incipient rectal tumours. The possibility of access via TEM has now been extended to other rectal and pelvic diseases, while standard surgical treatment is performed through the abdomen by laparotomy or laparoscopy. The evolution of laparoscopy has resulted in natural orifice translumenal endoscopic surgery (...
متن کاملTransanal Total Mesorectal Excision
Indications for transanal endoscopic microsurgery (TEM) have evolved since surgery for incipient rectal tumours. The possibility of access via TEM has now been extended to other rectal and pelvic diseases, while standard surgical treatment is performed through the abdomen by laparotomy or laparoscopy. The evolution of laparoscopy has resulted in natural orifice translumenal endoscopic surgery (...
متن کاملLaparoscopic Total Mesorectal Excision
Results The distal limit of rectal neoplasm was on average 6.1 (range 3–12) cm from the anal verge. The mean operative time was 250 (range 110–540) minutes. The conversion rate was 12%. Excluding the patient who stayed 104 days after a severe fistula and reoperation, the mean postoperative stay was 12.05 (range 5–53) days. The 30-day mortality was 2% and the overall postoperative morbidity was ...
متن کاملTransanal Total Mesorectal Excision
Indications for transanal endoscopic microsurgery (TEM) have evolved since surgery for incipient rectal tumours. The possibility of access via TEM has now been extended to other rectal and pelvic diseases, while standard surgical treatment is performed through the abdomen by laparotomy or laparoscopy. The evolution of laparoscopy has resulted in natural orifice translumenal endoscopic surgery (...
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ژورنال
عنوان ژورنال: Digestive Diseases
سال: 2007
ISSN: 0257-2753,1421-9875
DOI: 10.1159/000099169