The study involves the use of Retroperitoneal plane for TME for rectal anterior resection. Through a pilot prospective study, LR-TME will be assessed as one arm study.
This study is based on our new suggested theory for a retro-peritoneal approach. After successful 2 cases of Laparoscopic extraperitoneal-TME. A pilot study for assessment of the feasibilty of the new approach. Data will be registered prospectively and the perioperative outcomes will be assessed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
5
Retroperitoneal approach for total mesorectal excision
Oncology center of mansoura university
Al Mansurah, Eldakahlia, Egypt
Feasibility of the procedure
Feasibility of the TME by the retroperitoneal approach.
Time frame: 1 day
Intraoperative morbidity
Intraoperative morbidity including Urteric injury, Vascular injuries, hypogastric nerve injury, intestinal loop injury.
Time frame: 1 day
Postoperative morbidity
Postoperative haematoma, colonic leak and/or necrosis, pelvic abscess, intestinal obstruction
Time frame: Till patient discharge
Pathologic report outcome
Lymph node harvest, radial and circumferential margin, complete total mesorectal excison
Time frame: 7 days
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