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Conventional laparoscopic and transanal surgery are the present and the future in the treatment of rectal cancer. Technological advances have made possible the combination of transabdominal and transanal surgery resulting in a higher quality of mesorectal excision.

The video was selected as the best one between the top five presented at the XVIII Reunión Nacional de la Fundación Asociación Española de Coloproctología, it refers to the technical differences between the approaches, parallel segments of the surgeries explain the most important moments of rectal cancer surgery performed by both techniques.

It seems like taTME allows better visibility, better traction and identification of vessels, nerves and surrounding organs, allowing greater precision in performing the surgical technique.

This combined surgical approach is a new option with better results than those obtained with standard laparoscopic surgery used until today.

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Dr. Salvadora Delgado Head, General and Digestive Surgery Department, Mútua Terrassa University Hospital, Spain Bariatric Surgery
Dr. Marta Jimenez Toscano Surgeon in the Colorectal Unit at the Parc de Salut Mar, Hospital del Mar. Barcelona, Spain Colorectal Surgery
Dr. Antonio M. de Lacy MD, PhD, FACS (Hon), FASCRS (Hon), IQL Director, Department of Surgery, Hospital Quirón Barcelona, Hospital Ruber Internacional Madrid and Clínica Rotger Palma de Mallorca; AIS Founder and President, Spain General Surgery
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