Customized Denonvilliers' Fascia Excision: An Advanced total Mesorectal Excision Technique for Anteriorly Located Rectal Cancer.

Anterior dissection in front of Denonvilliers' fascia can be selectively performed during total mesorectal excision based on preoperative planning, tumor location, and clinical tumor stage. Preoperative magnetic resonance imaging and magnified operative views in minimally invasive platforms provide access to more precise surgical planes for clear circumferential resection, achieving optimal functional outcomes and oncological safety.