Laparoscopic rectal resection with anal sphincter preservation for rectal cancer

2005 ◽  
Vol 19 (11) ◽  
pp. 1468-1474 ◽  
Author(s):  
J.-L. Dulucq ◽  
P. Wintringer ◽  
C. Stabilini ◽  
A. Mahajna
Keyword(s):  
Rectal Cancer ◽  
Anal Sphincter ◽  
Rectal Resection ◽  
Sphincter Preservation ◽  
Laparoscopic Rectal Resection

scholarly journals A Case of IgG4 Related Disease Mimiking Disseminated Recurrence of Rectal Cancer after Laparoscopic Rectal Resection

2020 ◽  
Vol 81 (6) ◽  
pp. 1151-1155
Author(s):  
Masashi HATTORI ◽  
Hitoshi TERAMOTO ◽  
Masahiro SASAHARA ◽  
Naoya TAKEDA ◽  
Hirotaka MARUYAMA ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Rectal Resection ◽  
Related Disease ◽  
Igg4 Related Disease ◽  
Laparoscopic Rectal Resection ◽  
Recurrence Of Rectal Cancer

Laparoscopic rectal resection following regrowth of rectal cancer in watch and wait programme

2021 ◽  
Author(s):  
AF Ramzee ◽  
A Mureb ◽  
M Al Dhaheri ◽  
K Qadir ◽  
M Abu Nada ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Rectal Resection ◽  
Watch And Wait ◽  
Laparoscopic Rectal Resection

Quality Of Life Using A Summary Score After Neoadjuvant Treatment And Surgery For Rectal Cancer.

2020 ◽  
Author(s):  
Rodrigo Otavio de Castro Araujo ◽  
Fernando Meton Vieira ◽  
Ana Paula Ornellas ◽  
Claudia Carrada Torres ◽  
Ivanir Martins ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Rectal Resection ◽  
Locally Advanced ◽  
Neoadjuvant Treatment ◽  
Neoadjuvant Chemoradiotherapy ◽  
Sphincter Preservation ◽  
Summary Score ◽  
Group 2

Abstract Introduction :Neoadjuvant chemoradiotherapy (neoCRT) followed by surgery is the standard of care for locally advanced rectal cancer (LARC), and sphincter preservation is a desirable endpoint, but quality of life (QOL) is often impaired after treatment. Objective To evaluate QOL in five different moments of treatment in a randomized trial comparing two different neoadjuvant regimens. Methods Stage II and III rectal cancer patients were randomized to receive neoCRT with either capecitabine (Group 1) or 5-Fu and leucovorin (Group 2) concomitant to long course radiotherapy. EORTCs QLQ C30 and CR38 were applied before treatment (T0), after neoCRT (T1), after rectal resection (T2), early after adjuvant chemotherapy (T3), and one year after end of treatment or stoma closure (T4). Wexner scale was used for continence evaluation at T4. A C30 summary score (Geisinger et cols) was calculated to compare QOL results.Results 32 patients were assigned to Group 1and 31 to Group 2. QOL was improved comparing T0 to T1 (mean 80.5 vs 88.0, p<0.001), and decreased comparing T1 to T2 (mean 88.0 vs 80.4, p<0.001). No difference in QOL summary was detected comparing T2 to T3 (79.8 vs 82.4, p=0.194) or T3 to T4 (83.0 vs 83.0, p=0.993). No difference in QOL was detected comparing the two treatment groups as clinical response was comparable. Mean Wexner scale score was 9.2, and a score ≥10 correlated with symptoms of diarrhea and defecation problems at T4. Conclusion : QOL improved after neoCRT but worsened following rectal resection, with no significant recovery during follow-up. Capecitabine and 5-Fu/Lv were equivalent in neoadjuvant regimen. Incontinence was high after sphincter preservation. C30 summary score was useful to detect differences in overall Quality of Life in addition to C30 multiple item questionnaire.

Short-Term Outcomes of Pelvic Peritoneum Reconstruction with Barbed Suture After Laparoscopic Rectal Resection for Rectal Cancer

2021 ◽  
Author(s):  
Jing Wen ◽  
Jian Shen ◽  
Qiushi Huang ◽  
Shan He
Keyword(s):  
Rectal Cancer ◽  
Small Bowel ◽  
Lymph Nodes ◽  
Small Bowel Obstruction ◽  
Rectal Resection ◽  
Perineal Hernia ◽  
Barbed Suture ◽  
Short Term ◽  
Pelvic Peritoneum ◽  
Laparoscopic Rectal Resection

Abstract Background: Laparoscopic rectal resection may cause various surgical complications including perineal hernia and adhesive small-bowel obstruction. Pelvic peritoneum reconstruction (PPR) could prevent those complications. The aim of the study is to evaluate the short-term clinical, technical and safety outcomes of PPR using the barbed suture in laparoscopic rectal resection. Methods: This is a retrospective cohort study conducted in Chengdu second’s people hospital. Between January 2014 and December 2019, a total of 402 patients who underwent curative surgery for rectal cancer in Chengdu Second People’s Hospital were enrolled in the study. Among them, 216 patients who underwent laparoscopic rectal resection with PPR were allocated into the experimental group, and 186 patients who underwent laparoscopic rectal resection without PPR were allocated into control group. All the patients received standard preoperative and postoperative treatments. Observational indicators (1) surgical and postoperative conditions; (2) postoperative pathological examination. (3) postoperative complications. The data were represented by X ± s. t-test and X2 test were used for counting data. Results (1) Surgery condition: all patients in the two groups underwent successful surgery without conversion to open surgery. There were no differences between the two groups in terms of surgical approach, resection margin, tumor size, postoperative T-stage, postoperative N-stage, positive lymph nodes, harvest lymph nodes, perineal wound infection, perineal hernia, postoperative pneumonia, postoperative hemorrhage, presacral fluid, or abscess. The operative time, blood loss, the incidence of anastomotic leakage, and small-bowel obstruction showed a significant difference between the two groups. Conclusion We hypothesized that pelvic peritoneum reconstruction with barbed suture could improve the efficiency of intracorporeal closure of the pelvic cavity after in laparoscopic rectal resection, which can significantly reduce postoperative perineal-related complications. Further, we expect that use of the barbed sutures will reduce intra-operative stress on the endoscopic surgeon.

Laparoscopic versus open total mesorectal excision with anal sphincter preservation for low rectal cancer

2004 ◽  
Vol 18 (8) ◽  
pp. 1211-1215 ◽  
Author(s):  
Z. -G. Zhou ◽  
M. Hu ◽  
Y. Li ◽  
W. -Z. Lei ◽  
Y. -Y. Yu ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Anal Sphincter ◽  
Sphincter Preservation ◽  
Low Rectal Cancer ◽  
Mesorectal Excision

scholarly journals TP7.2.5 Surgeon measured radiological pelvic measurements as a patient selection tool for laparoscopic rectal resection – an aide in early learning curve

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
A D Gavrila ◽  
A J Deans ◽  
P K Dhruva Rao
Keyword(s):  
Rectal Cancer ◽  
Patient Selection ◽  
Rectal Resection ◽  
Tumour Size ◽  
Laparoscopic Group ◽  
Operative Approach ◽  
Patient Demographics ◽  
Laparoscopic Rectal Resection ◽  
Pelvic Area ◽  
Selection For

Abstract Introduction Rectal resections are considered one of the most technically demanding laparoscopic procedures. This study reviews one unit’s rectal cancer resections to determine whether pelvic dimensions measured by the surgeon could aide patient selection for laparoscopic resections. Methods A prospectively maintained database was used to identify rectal cancer resections between April 2015 to March 2018 and patient demographics, BMI, height of tumour and operative details were in extracted. Anteroposterior (Coccygio-pubic) and transverse (interspinous) distance were measured retrospectively on linked Axial & Saggital views on staging CT scans. Tumour dimensions in the respective planes were recorded and relative proportions of tumour to pelvic dimensions calculated. These were correlated to operative approach. Results Our cohort comprised of 70 patients (42 men) with a median BMI of 27 and mean age of 71. While 6 operations were planned as open procedures, 64 were attempted laparoscopically. Of these, 55 were completed laparoscopically and 9 were converted (16%). There was no correlation between gender and operative approach (p = 0.2). Mean BMI for laparoscopic group 28.7 and converted group 30.0 which was not statistically significant (p = 0.32). Conversion was more likely for low tumours (89%). Median tumour to pelvic area proportion was 0.14 laparoscopic compared to 0.03 for open and 0.03 for converted suggesting that bulkier tumours are more likely to need conversion. Discussion None of previously identified factors such as gender and BMI predicted conversion in our cohort individually. Tumour size relative to pelvic dimensions is a simple measure a surgeon could use to guide patient selection.

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