Open Access
CC BY 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2025; 08(02): 130-139
DOI: 10.1055/s-0045-1809316
Review Article

Pelvic Compartments and Imaging Considerations Beyond TME Surgery for Rectal Cancer Patients

Jinita Majithia
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Purvi D. Haria
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Suman K. Ankathi
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Amit Choudhari
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Aparna Katdare
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Amrita Guha
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Himangi Unde
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Kunal Gala
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Nitin S. Shetty
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Suyash Kulkarni
1   Department of Radiodiagnosis, Tata Memorial Centre, Mumbai, Maharashtra, India
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
,
Mufaddal Kazi
2   Homi Bhabha National Institute, Mumbai, Maharashtra, India
3   Department of GI Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India
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Abstract

The rectum resides next to multiple important organs, muscles, nodes, nerves, and vessels. While operating in the mesorectal plane is sacrosanct for a successful rectal cancer surgery to obtain a negative circumferential resection margin and minimize local recurrence, advanced rectal tumors need to be operated beyond the standard surgical template. We discuss the various surgical options in such cases, and describe the imaging findings to consider helping the surgeon decide on the appropriate surgery.

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Artikel online veröffentlicht:
05. Juni 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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