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Total mesorectal excision (TME) has emerged as a gold standard for more than two decades for the treatment of rectal cancer. This concept was popularized by Heald after propagating the concept that rectum and its mesentry are derivates of hindgut embryologically, and in order to save patients from recurrence, it is wise to dissect rectum …
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In our study, compared with laparoscopic surgery, da Vinci or Micro Hand R-TME exhibited similar superiority in the quality of oncologic resection, postoperative morbidity, and recovery of postoperative function. Introduction Total mesorectal excision (TME) has become the gold standard for radical treatment of rectal cancer.
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Most people with rectal cancer have a TME as part of their surgery. A TME is when the surgeon removes some of the fatty tissue around the rectum (mesorectum). The fatty tissue contains lymph nodes and blood vessels. This means all the lymph nodes near to the tumour are removed, which reduces the risk of the cancer coming back.
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Total Mesorectal Excision involves resecting the rectum along with its surrounding Mesorectal plane. If the anal sphincter is spared, this surgery is named Low Anterior resection (LAR) for rectal cancer. Traditionally, TME dissection in LAR is performed through open or laparoscopic incisions(s) made in the abdominal wall.
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Background Low anterior resection syndrome (LARS) is a defecation disorder that frequently occurs after a low anterior resection (LAR) with a total mesorectal excision (TME). The transanal (ta) TME for low rectal pathologies could potentially overcome some of the difficulties encountered with the abdominal approach in a narrow …
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Abstract: These videos show our step-by-step technique for laparoscopic low anterior resection (LAR) for rectal cancer with total mesorectal excision (TME).The procedure starts in the usual fashion with a high central ligation of the inferior mesenteric vessels, complete excision of the mesorectum, fluorescence angiography for perfusion control and …
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In combination with chemotherapy and radiation treatment (CRT), complete TME with negative resection margins is associated with sustained local and systemic control even in locally advanced disease. Over the last 2 decades, laparoscopic and robotic techniques have been increasingly adopted due to reduced surgical trauma and faster …
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Low anterior resection syndrome (LARS) is a defecation disorder that frequently occurs after a low anterior resection (LAR) with a total mesorectal excision (TME). The transanal (ta) TME for low rectal pathologies could potentially overcome some of the difficulties encountered with the abdominal approach in a narrow pelvis.
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There are different types of total mesorectal excision depending on where the cancer is in your rectum, and how big it is. Cancer high in the back passage (rectum) Your surgeon will remove the cancer in the top part of the rectum. They attach the end of the colon to the remaining part of the rectum. The join is called an anastomosis.
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VRM OPTİMİZASYONU. Öğütme yardımcılarının ve yenilenmiş rafine edilmiş proses stratejilerinin eklenmesi, dik valsli değirmenlerin (VRM) performansını artırabilir. Değirmen devresindeki toplam nemin etkin yöntemi ile birlikte uygun öğütme katkılarının kullanılması, VRM'nin daha iyi çalışmasına ve sonuçta ...
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Transanal TME (T-TME) combined with laparoscopy, called hybrid-NOTES, is a less invasive procedure that responds to some of the limitations of the rectal laparoscopic approach. MAIN OBJECTIVE: To analyze that the T-TME gets a faster recovery due to a lower conversion rate to open surgery than laparoscopic low anterior …
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Transanal total mesorectal excision (TaTME) is widely performed for the resection of rectal cancer around the world. However, due to lower body mass index and a lack of necessity, TaTMEs have not been accepted in East Asia as generally as in Western countries. In East Asia, conventional laparoscopic surgeries have been performed with …
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Possible side effects of rectal surgery. Possible risks and side effects of surgery depend on several factors, including the extent of the operation and a person's general health before surgery. Problems during or shortly after the operation can include bleeding from the surgery, infections at the surgery site, and blood clots in the legs.
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Circumferential resection margin (CRM) is a term used to denote the standard plane of excision of total mesorectal excision, used for resection of rectal cancers.The anatomic correlate is the mesorectal fascia.The distance between tumor tissue or satellite tumor deposits and the mesorectal fascia, as judged at staging MRI, is …
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Total mesorectal excision (TME) is a type of procedure to remove cancer from the end of the anal area (rectum). In this procedure, the surgeon removes the part of the rectum that contains cancer and some healthy tissue on either side. They also remove the fatty tissue (mesorectum) around the rectum, which contains the blood vessels and lymph nodes.
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