Laparoscopic resection for T4 rectal cancer with local invasion of the bladder - a video vignette.

Extended total mesorectal excision (ETME) which is indicated in locally advanced rectal cancer (T4 tumor) defines the en bloc oncologic resection of the rectal tumor and its surrounding tissues invaded with cancer [1]. Recent developments and increasing experience in laparoscopy have expanded its indications. [2]. T4 tumors, in which laparoscopic surgery was once accepted as a relative contraindication, now can be treated with laparoscopic techniques effectively. We present a case of locally advanced rectal cancer in which we performed laparoscopic ETME (L- ETME) (Video). This article is protected by copyright. All rights reserved.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. 2019 Apr 04 [Epub ahead of print]

Turan Acar, Nihan Acar, Mehmet Haciyanli

İzmir Katip Çelebi University Atatürk Training and Research Hospital, Department of General Surgery., İzmir Katip Çelebi University, Department of General Surgery.