Operations for Rectal Cancer: Low Anterior Resection—Open, Laparoscopic or Robotic, taTME, Coloanal Anastomosis

Anthony P. D'Andrea, Marta Jiménez-Toscano, Ana Otero-Piñeiro, Raquel Bravo-Infante, Antonio M. Lacy, Patricia Sylla

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


The surgical management of rectal cancer has evolved remarkably over the past century. Since the first description of radical abdominoperineal resection (APR) by Miles in 1908, surgery for rectal cancer has moved toward less aggressive approaches to reduce morbidity and mortality while making sphincter preservation a priority. This chapter reviews the various surgical approaches for the curative resection of rectal cancer, including different techniques for completing a proctectomy with sphincter preservation. Open low anterior resection (LAR), laparoscopic LAR, robotic LAR, and laparoscopic-assisted transanal total mesorectal excision (taTME) are described. The benefits and limitations of each surgical approach are reviewed, as well as postoperative complications and oncologic and functional outcomes.

Original languageEnglish
Title of host publicationShackelford's Surgery of the Alimentary Tract
Subtitle of host publication2 Volume Set
Number of pages30
ISBN (Electronic)9780323402323
ISBN (Print)9780323531771
StatePublished - 1 Jan 2019


  • Laparoscopic
  • low anterior resection (LAR)
  • rectal cancer
  • robotic
  • total mesorectal excision (TME)
  • transanal endoscopic microsurgery (TEM)
  • transanal endoscopic operation (TEO)
  • transanal endoscopic surgery (TES)
  • transanal minimally invasive surgery (TAMIS)
  • transanal total mesorectal excision (taTME)

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