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Description keyboard_arrow_down
Laparoscopic TME with low colorectal end-to-end anastomosis (stapled) and temporary ileostomy.

Clinical Case:

  • 62 y.o. Male
  • Mid-low rectal cancer – T3N+
  • Preoperative chemoradiotherapy
  • Surgery: laparoscopic TME with temporary ileostomy


Clinical History:

  • Diagnosis of a mid-low rectal cancer, starting 3 cm above the anal verge
  • Local staging with ultrasound and MRI – cT3N+
  • CT-scan showed no distant metastasis
  • Neoadjuvant treatment with chemoradiotherapy


Other History:

  • No important medical history
  • Surgical history: previous apendectomy


Procedure steps:

  • 1. Surgical history: previous apendectomy
  • 2. Splenic flexure mobilization with a medial-to-lateral approach
  • 3. Inferior Mesenteric Artery (IMA) ligation
  • 4. Medial-to-lateral approach with full colonic mobilization
  • 5. TME
  • 6. Circular stapled anastomosis
  • 7. Temporary stoma (ileostomy)


Learning points:

  • Medial approach for veins & arteries
  • Radial dissection above the pancreas
  • TME
Faculty keyboard_arrow_down
Dr. Yves Panis MD, PhD, Head of the Dpt of Colorectal Surgery, Beaujon Hospital, Clichy, and University of Paris, FRANCE. Colorectal Surgery
Dr. Itzel Vela Surgical Oncologist, National Cancer Institute México City/Hospital Ángeles del Pedregal, Mexico Surgical Oncology
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