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Transanal approach for rectal cancer can be helpful not only on a mid and low rectal cancer, but also on a high rectum neoplasias. A precise distal margin from the tumor will ensure an adequate oncologic resection leaving the anastomosis at a height of 8 to 10 cm from the anal verge. From the Hospital Clinic in Barcelona, a TaTME by Cecil Approach by Dr. Antonio M. Lacy for neoplasia at the level of the peritoneal reflexion, was broadcasted, 14 cm from the anal verge, demonstrating the results of a high rectal anastomosis from a transanal approach.
