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Nick Rieger Associate Professor University of Adelaide South Australia
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The Surgery for Rectal Cancer
1.
2.
3.
4.
5.
Rectal Anatomy 15
cm High Anterior Resection Low Anterior Resection Ultralow Anterior Resection Abdominoperineal Resection
6.
Endorectal Ultrasound
7.
MRI
8.
9.
Pre-operative Chemoradiotherapy Before
After
10.
11.
12.
13.
14.
15.
TME
16.
TME
17.
18.
19.
20.
Modified TME 5
cm 5 cm
21.
Rectal Ultrasound
22.
23.
24.
Operative Position
25.
26.
Mobilisation Sigmoid Colon
“Ureter”
27.
Splenic Flexure Mobilised
28.
High Ligation Inferior
Mesenteric Artery
29.
Ligation Inferior Mesenteric
Vein and Exposure of the Spleen
30.
Full Bowel Mobilisation
31.
32.
St Mark’s Retractor
33.
The Technique Posterior
Rectal Dissection
34.
The Technique Posterior
Rectal Dissection
35.
36.
The Technique Anterior
Rectal Dissection
37.
38.
Transverse Staple Line
Rectal Stump
39.
40.
The Technique Preparation
Proximal Bowel
41.
The Technique Preparation
Proximal Bowel
42.
The Technique Preparation
Proximal Bowel
43.
Transected Bowel
44.
Staple Gun Head
45.
46.
Mid-rectal Anastomosis Inserting
the Staple Gun
47.
Midrectal Anastomosis
48.
Resected Specimen Low
anterior resection Abdominoperineal resection
49.
50.
51.
Laparoscopy
52.
53.
54.
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