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Total Mesorectal Excision (TME) is the global gold standard for rectal cancer surgery, focusing on the precise removal of the rectum and its surrounding fatty tissue within an intact fascial envelope. This procedure relies on navigating the "holy plane,"an avascular space between visceral and parietal membranes that allows for the complete extraction of lymph nodes while protecting vital autonomic nerves. Success is measured by pathologists using the Quirke grading system, which evaluates the smoothness and integrity of the specimen's surface. Maintaining a clear circumferential resection margin is essential for preventing local cancer recurrence and ensuring the patient's long-term survival. Ultimately, this standardized surgical approach balances oncologic clearance with the preservation of urogenital function by respecting complex pelvic anatomy.

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DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice

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