LAPAROSCOPIC RECTUM CANCER RESECTION WITH LIGATURE OF INFERIOR MESENTERIC-ARTERY AND MESORECTAL EXCISION

Laparoscopic techniques in surgical treatment of colorectal cancer are performed present in prospective trials. Operation times are clearly decreasing with growing surgical experience and oncological criteria c oncerning resection margins and lymphatic dissection are comparable wi th open surgery. Indications for laparoscopic rectal resections are th e endoscopic non removable adenoma and cancer of the upper and lower r ectum endosonographic up to maximum uT3-stage. All laparoscopic resect ions are performed under conventional oncological criteria: after expl oration of the abdominal cavity and laparoscopic ultrasound of the liv er we performe the ligature of the inferior mesenteric vein and artery . Dissection and resection of the mesorectum is done by the,,Harmonic Scalpel(C)''. The rectum is taken out by mini laparotomy and anastomos is is done by transanal stapler.