Indications and Technical Considerations for Transanal Total Mesorectal Excision.
case_report · Level V
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- Record sourced from PubMed, PMID 35802851.
- Also identified by DOI 10.1097/DCR.0000000000002500.
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Abstract
A 53-year-old man presented after noting bright red blood from his rectum. On examination, he was found to have a mass 1 cm above the anal sphincter complex. He had a BMI of 40 kg/m2 and was otherwise healthy. MRI revealed a T2/early T3 lesion with extramural venous invasion and suspicious perirectal lymph nodes. Low rectal cancer was diagnosed. He underwent long-course neoadjuvant chemoradiation with good but not complete clinical response. Given his obesity and the low nature of his rectal cancer, a transanal total mesorectal excision (taTME) was planned.
Medical subject headings
- Laparoscopy
- Proctectomy
- Rectal Neoplasms
- Transanal Endoscopic Surgery