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Low Rectal Cancers
Low rectal cancer has higher
CRM positivity rate with APER
vs low AR with TME
MERCURY: 33% vs 13%
Leeds: 36.5% vs 22.3%
MRC CLASICC: 21% vs 10%
Dutch TME: 30.4% vs 10.7%
Shihab OC et al. Lancet Oncol 2009; 10: 1207-11; Ann Surg Oncol
2011; 18(12): 3278-84
Have you checked your DisTANCE ?
Systematic Approach