LAUSR

transanal total mesorectal excision over other minimally approaches to total mesorectal excision (TME) in rectal are related to distal resection margin control by performing rectal transection under luminal vision, smoother distal pelvic dissection, and the ability to fashion a single-stapled anastomosis. Theoretically, in locally advanced (LARC) and locally recurrent rectal cancer (LRRC) requiring beyond TME resections, taTME facilitate distal disconnection of the rectum, resection of adjacent pelvic structures, and control of the R1 risk-points during pelvic dissection. describes the use of taTME to facilitate an ultra-low anterior resection (ULAR) with en bloc small bowel resection, appendicectomy, total hysterectomy and bilateral salpingo-oophorectomy (BSO), subcortical S2 sacrectomy, pelvic sidewall resection, and intraoperative radiotherapy (IORT) for locally recurrent rectal