Total mesorectal excision is a standard surgical technique for treatment of rectal cancer, first described in 1982 by Professor Bill Heald at the UK's Basingstoke District Hospital.
What is complete Mesorectal excision?
Total mesorectal excision (TME) is a common procedure used in the treatment of colorectal cancer in which a significant length of the bowel around the tumor is removed. TME addresses earlier treatment concerns regarding adequate local control of rectal cancer when an anterior resection is performed.
How do you do total Mesorectal excision?
What are the steps to perform total mesorectal excision (TME)?
- Laparotomy and exploration for confirming the stage of the disease and assessing operability on the table.
- Mobilization of the left colon and the splenic flexure.
- Mobilization of the rectum.
- Resection of the rectal tumor along with sigmoid colon.
- Reconstruction.
