Local Excision for a T One Lesion?

In select patients who have t one lesions without hi risk features. So these are well to moderately differentiated lesions with no lymphi, vascular or perineural invasion and less than three centimeters in size. There's up to a 20 % local recurrence rate after a local excision for a t one lesion. Weu want a tumor specific meso rectal excision with a five centimeter margin. An anastmosis.