Why is an anterior resection named as such?

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mhco

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Why is an anterior resection eg for rectal carcinoma named as such?

I couldn't find the answer anywhere, so thought I would ask here

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Which makes you wonder why a right hemicolectomy isnt called an anterior resection, or a gallbladder isnt called an anterior resection.

The reason it is called that, though, is to contrast it with a perineal approach. A truly, solely perineal approach isnt really done for rectal cancer, but a combined abdomino-perineal approach, or APR, is. So a low anterior resection is when the entire operation is done from anterior and an APR is when there is a perineal portion. Basically its shorthand for a rectal cancer operation in which you preserve the sphincters.
 
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My understanding is that it is a historical naming that distinguishes it from the Kraske Procedure, which is a posterior resection.
 
You are all wrong. It's named after the surgeon who first performed it in 1906, Dr. William T. Anterior.
 
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Which makes you wonder why a right hemicolectomy isnt called an anterior resection, or a gallbladder isnt called an anterior resection.

The reason it is called that, though, is to contrast it with a perineal approach. A truly, solely perineal approach isnt really done for rectal cancer, but a combined abdomino-perineal approach, or APR, is. So a low anterior resection is when the entire operation is done from anterior and an APR is when there is a perineal portion. Basically its shorthand for a rectal cancer operation in which you preserve the sphincters.

You can approach a rectal cancer transanally - usually for small lesions that are T1 - either a pure transanal excision if the lesion is distal enough or TAMIS/TEMS approach. The newest technique on the block is a TaTME. This one does a combined approach similar to APR, but with sphincter sparing.
 
Yes, but most TaTMEs require transabdominal laparoscopy similar to a standard anterior resection
 
Yes, but most TaTMEs require transabdominal laparoscopy similar to a standard anterior resection

Yes as I mentioned the newest technique on the block is the TaTME that uses a combined approach similar to APR, but is sphincter sparing.

The TAMIS/TEMS approaches are purely transanal
 
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