1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is Total Mesorectal Excision (TME)?
Total mesorectal excision (TME) is a common procedure used in the treatment of colorectal cancer in which a significant length of the bowel around the tumor is removed. TME addresses earlier treatment concerns regarding adequate local control of rectal cancer when an anterior resection is performed.
Who is a candidate for TME Surgery?
Patients who have rectal cancer that is confined to the lower two-third of the rectum are generally considered good candidates for TME surgery. However, many factors can determine whether TME is right for you, and your Cancer Center physician will ultimately help you choose the most appropriate treatment for your individual situation.
The mesorectum is a fatty tissue directly adjacent to the rectum that contains blood vessels and lymph nodes. When rectal cancers recur, it is often in these lymph nodes. In a TME surgery, surgeons carefully remove the entire mesorectum and lymph nodes, leading to a very low risk that cancer will recur in the local regions.
TME surgery sometimes impairs rectum function and results in patients needing a permanent colostomy. Although the risk is never eliminated, having your surgery performed by an experienced physician such as those at the Cancer Center can make this outcome less likely. Following surgery, patients sometimes also receive radiation and/or chemotherapy.
Although TME surgery improves outcomes, it is also a complicated, major surgery. In addition to lowering the risk of permanent colostomy, having an experienced surgeon can also reduce the risk of damage to important nerves that run through the mesorectum. For example, when surgeons can spare the pelvic nerves, patients have less urinary and sexual problems after surgery.
Risks Involved in Surgery
Problems during surgery may include:
Damage to organs in the body
Adverse reactions to medication
Problems after surgery may include:
Pain or discomfort (a common problem following surgery that can often be relieved with medication and with the help of your cancer care team)
The mesentery of the rectum, i.e., mesorectum, is the perirectal fatty lymphovascular tissue extending the length of the rectum. The mesorectum encases the rectum as a thick cushion mainly posteriorly and laterally.
There are few lymph nodes within the mesentery of the lower third of the rectum and relatively few in the right and left lateral portions of the mesorectum. We confirm that the majority of nodes are located in the proximal two-thirds of the posterior rectal mesentery.
It involves removing the cancer and some of the wall of the rectum. Your doctor may do it through the anus (the opening of the rectum) or through a small cut in the rectum. The procedure does not require major surgery.
You'll also have less pain and smaller scars. After 1 to 2 weeks, you may be able to get back to most of your normal routine, such as walking and working. Don't try to lift anything over 10 pounds or do intense exercise until you get your doctor's OK. It usually takes around 6 weeks to recover fully.
For the first few weeks after surgery, your abdominal muscles and skin surrounding your stoma will be sore. You may find that lying on your back with your torso and head propped up with pillows helps alleviate any discomfort you may have when lying flat.
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