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Some 28 patients were available for analysis 17 TME and 11 PME patients. TME patients had a reduced blood perfusion postoperatively compared to PME patients in the aboral posterior area (mean difference -57 vs 18 perfusion units; p = 0.01. An interaction between mesorectal excision type and anterior/posterior location was detected at the aboral level (p = 0.007). Two patients developed a minor leakage, diagnosed after discharge. Patients operated on using TME have a decreased blood flow in the aboral posterior quadrant of the rectum