54 Year Male presented to me with bleeding PR for 2 months, on examination there was severe anal spasm with fissure in ano. I could not able to do PR or Proctoscopic examination. I did colonoscopy of that patient and find out a lower rectal adeno carcinoma T2, N0, M0 on CT scan.Patient was operated and Ultra Low Anterior resection was done with Laparoscopic Assistance. Final HPE awaited.
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| Dissection of Inferior Mesenteric Vessel and Applying Vascular clips |
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| Division of Inferior Mesenteric Artery |
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| Retro Rectal Dissection in Presacral Space |
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| Posterior Rectal Dissection |
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| Anterior Dissection in between Fascia Propria and Dinoviller's Fascia |
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| Fungating Growth with 2 cm of Distal Clear Margin |
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| Specimen of Ultra Low Anterior Resection |
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