Endoluminal Intra-Peritoneal Radical Resection of Rectal Cancer using Transanal Endoscopic Microsurgery

Renee Huang, MD, Cynthia Sulzbach, BS, Dominique McKeever, BA, Joseph L Frenkel, MD, Gerald Marks, MD, John Marks, MD, FACS, FASCRS

Section of Colorectal Surgery, Lankenau Medical Center, Wynnewood, PA 19096

This video demonstrates a full-thickness hemi-circumferential excision of a uT2 rectal adenocarcinoma, status post neoadjuvant chemoradiation using Transanal Endoscopic Microsurgery in a morbidly obese female. The 3cm tumor was 10cm from the anorectal ring, necessitating sizable entrance into the peritoneal cavity to ensure complete full-thickness excision. Though the possible need for a stoma was considered and discussed with the patient, the large defect was closed primarily without proximal diversion. Patient had an uncomplicated post-operative course and was discharged from the hospital on post-operative day seven.

Session: Video ChannelDay 2

Program Number: V093

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