All are true about Total Mesorectal Excision for CA rectum except:
Decreases local recurrence
Decreases incidence of impotence
Decreases incidence of bladder dysfunction
Lesser Leakage rate and higher stoma rate
Total Mesorectal Excision Advantages Disadvantages Significant increase in 5-year survival rates Decrease in local recurrence rate Decrease in the incidence of impotence and bladder dysfunction. TME is a more complex operation Associated with a longer operating time, more blood loss, longer hospital stay Higher leakage rate, higher stoma rate.
Rectum and anal canal