Can rectal tumor not invade through the serosa have TaTME surgery?

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Hello doctor! Doctor let me ask if rectal tumor 3cm from the anal border, size 4cm, has not invaded through the serosa, can I do TaTME surgery? Looking forward to your advice, thank you doctor!
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Hello, doctor would like to answer the question: "Can rectal tumor 3cm from the anal border, size 4cm, not invaded through the serosa, can TaTME surgery be performed?" As follows:
Previously, for patients diagnosed with low rectal cancer (tumor location ≤ 5cm from the anal margin) was usually treated with the classic surgical method (Miles surgery). That is cutting the entire rectum and anal canal and bringing the colon to the left abdominal wall to make a permanent colostomy; It can be performed laparoscopically or by open surgery.
However, wearing an colostomy for the rest of his life has caused many difficulties and inadequacies for the patient's daily activities and psychological effects when the patient comes into contact with normal people. socially. TaTME surgery is a laparoscopic technique to cut the entire mesentery through the anus in the treatment of rectal cancer, is a new surgical method, has many advantages compared to other surgical methods. In the past, especially the patient will not have to wear a permanent colostomy after surgery. In the specific case you ask, it is possible to apply laparoscopic total rectal resection (TaTME)
You can go to the nearest medical facility or Hospital under the Health System Vinmec to be examined and consulted more thoroughly by doctors. Best regards!
Answered by Master, Doctor Nguyen Thai Binh - Gastroenterologist - General Surgery Department - Vinmec Ha Long International Hospital

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