scholarly journals Robotic-Assisted Surgery Improves the Quality of Total Mesorectal Excision for Rectal Cancer Compared to Laparoscopy: Results of a Case–Controlled Analysis

2015 ◽  
Vol 40 (4) ◽  
pp. 1010-1016 ◽  
Author(s):  
Pierre Allemann ◽  
Céline Duvoisin ◽  
Luca Di Mare ◽  
Martin Hübner ◽  
Nicolas Demartines ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Robotic Assisted ◽  
Robotic Assisted Surgery

scholarly journals Macroscopic Assessment of Total Mesorectal Excision Quality after Robotic Assisted Rectal Resection for Rectal Cancer in Bulgaria: A Prospective Trial

2017 ◽  
Vol 10 (2) ◽  
pp. 130-134
Author(s):  
Dobromir D. Dimitrov ◽  
Tsvetomir M. Ivanov ◽  
Tashko S. Deliyski ◽  
Sergey D. Iliev ◽  
Emil T. Filipov ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Robotic Surgery ◽  
Total Mesorectal Excision ◽  
Rectal Resection ◽  
Prospective Trial ◽  
Resection Margins ◽  
Resected Specimen ◽  
Mesorectal Excision ◽  
Robotic Assisted

Summary Total mesorectal excision (TME) is a standard surgical procedure for rectal cancer. Robotic surgery has the potential to minimize the disadvantages of laparoscopic rectal resection. Circumferential margin and macroscopic quality assessment of the resected specimen are the major prognostic factors for local recurrence of the disease. The aim of this study was to research the macroscopic assessment of the quality of TME after robotic-assisted rectal resections for rectal cancer performed in a single center. Data was prospectively collected about macroscopic assessment of the quality of TME in thirteen patients after robotic-assisted rectal resections for rectal cancer between 09.04.2014 and 31.12.2016. After all robotic TMEs, a pathologist made macroscopic assessment of the completeness of the mesorectal excision. The quality of TME was complete in 12 cases and nearly complete in one case. The circumferential and distal resection margins were negative in all cases. The mean number of harvested lymph nodes was nine. This study indicated that using robotic surgery for rectal cancer does not lead to worsening the quality of TME. Further studies in this field are necessary.

scholarly journals Grading quality of total mesorectal excision specimen by surgeons

2018 ◽  
Vol 6 (2) ◽  
pp. 69-73
Author(s):  
Dhiresh Kumar Maharjan ◽  
Prabin Bikram Thapa
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Anterior Resection ◽  
College Teaching ◽  
Mesorectal Excision ◽  
Good Tool ◽  
Photographic Documentation ◽  
Photo Documentation ◽  
Operating Surgeon

Background: Total mesorectal excision has been gold standard since 1978. But standardization of surgery with quality assurance of total mesorectal excision specimen has been a challenging issue in developing countries. However, quality of macroscopic total mesorectal excision can be graded immediately by operating surgeon before specimen has been fixed in formalin and photographic documentation of gross specimen by surgeons is possible and practical.Objective: To grade macroscopic total mesorectal excision specimen by surgeon and document it photographically and compare it with reporting received from pathologist. Methods: A prospective observational study conducted from Jan 2014 to Jan 2016 at Department of Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal. All consecutive patients with rectal cancer (upper/middle and lower) without distant metastasis were included. Immediate after surgery, macroscopic specimen of TME were graded by operating surgeon and photo-documentation with one anterior, one posterior and two right and left lateral views of total mesorectal excision photos were taken and documented with printed form along with operative notes.Results: There were 40 patients with rectal cancer who underwent surgery during this period. Among those patients, the median age was 25 years of which 30% were females. Twenty-four patients underwent low anterior resection whereas thirteen had ultralow anterior resection and three had abdominal perineal resection. All patients had photo documentation. Complete mesorectal excision was seen in 36 patients and four patients had near complete total mesorectal excision when graded by surgeons. However, pathologist reported six (16.6%) patients having near complete mesorectum among those which had been graded as complete by surgeons.Conclusion: Grading of macroscopic total mesorectal excision specimen by surgeon is feasible and with use of photographic documentation, it can help to assess the quality of surgeons work and can be a good tool for feedback for surgeons to improve. 

scholarly journals Transanal total mesorectal excision (TaTME) for rectal cancer: effects on patient-reported quality of life and functional outcome

2017 ◽  
Vol 21 (1) ◽  
pp. 25-33 ◽  
Author(s):  
T. W. A. Koedam ◽  
G. H. van Ramshorst ◽  
C. L. Deijen ◽  
A. K. E. Elfrink ◽  
W. J. H. J. Meijerink ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Functional Outcome ◽  
Transanal Total Mesorectal Excision ◽  
Mesorectal Excision ◽  
Patient Reported
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