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Total mesorectal excision (TME) is widely accepted as the preferred method of treatment for rectal cancer and currently considered as the “gold standard” method of treatment [1]. TME results in a lower recurrence rate than the traditional approaches such as the abdominoperineal resection. The circumferential resection margin positivity rate is about 5% or less for low anterior resections with TME, whereas it is between 10% and 25% for abdominoperineal excision of the rectum [2]. There is understandably, a higher local recurrence rate following the traditional methods of surgery for rectal cancer.

Histopathological assessment of mesorectum in surgical specimens of rectal carcinoma