It should be emphasised that preparation under direct vision as well as sharp dissection is mandatory in rectal cancer surgery. Radical surgery in the pelvis with TME has gained wide acceptance. This technique involves the following steps:
1. above the pelvic rim
2. below the aortic bifurcation
3. along the pelvic side walls
4. distal anterior dissection
5. posterior and distal dissection
6. extreme distal dissection.
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