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The gold standard approach for rectal cancer is still under debate. Transabdominal-Transanal surgery (the Cecil Approach) is in the spotlight as it helps overcome technical difficulties in rectal cancer surgery, particularly in mid and low rectal cancer, but also in high rectal cancer. Once the mesorectal excision has been completed, a hand-swen or stapled anastomosis is created at the tumor level. For mid-rectal cancers, a stapled anastomosis may be fashioned either transabdominally or transanally. During the live surgery, the Cecil Approach for mid rectal cancer and stapled anastomosis were demonstrated by Dr. Antonio Lacy and his team from Hospital Clinic in Barcelona. The different steps of the technique were discussed, as well as tips and tricks.
