Two‐team laparoscopic extended lateral lymph node dissection with transperineal resection of the distal main trunk of internal iliac vein using a linear stapler—A video vignette.

The article discusses the use of transanal or transperineal surgery for rectal cancer, focusing on the benefits of visualizing the tumor directly and facilitating safe distal margins. It highlights the potential for shorter operating times and smaller blood loss with lateral lymph node dissection using this approach. The video vignette demonstrates a two-team surgery using the transperineal approach for locally advanced rectal cancer with bulky lateral lymph node metastasis. The authors emphasize the importance of achieving a safe 'lateral margin' for complete resection without severe perioperative complications. [Extracted from the article]