Left colic artery preservation in laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and extracorporeal anvil placement

2021 ◽  
Author(s):  
X. Huang
Keyword(s):  
Rectal Cancer ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Colic Artery ◽  
Natural Orifice ◽  
Left Colic Artery ◽  
Specimen Extraction ◽  
Natural Orifice Specimen Extraction

scholarly journals PRIMARY EXPERIENCE OF NATURAL ORIFICE SPECIMEN EXTRACTION SURGERY (NOSES) FOR RECTAL CANCER

2020 ◽  
Vol 19 (2) ◽  
pp. 69-82
Author(s):  
D. K. Puchkov ◽  
D. A. Khubezov ◽  
I. S. Ignatov ◽  
A. Y. Ogoreltsev ◽  
R. V. Lukanin ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Blood Loss ◽  
Operation Time ◽  
Rectal Cancer Surgery ◽  
Intraoperative Blood Loss ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Postoperative Rehabilitation ◽  
Intraoperative Complication ◽  
Natural Orifice Specimen Extraction

AIM: to demonstrate the first results of natural orifice specimen extraction surgery (NOSES) for rectal cancer.PATIENTS AND METHODS: in the period from June 2019 to October 2019 five NOSES for rectal cancer were performed in the hospital. The following factors were evaluated: age, gender, BMI, ASA, operation time, intraoperative blood loss, intraoperative and postoperative complications, duration of postoperative rehabilitation, need for narcotic analgesics.RESULTS: mean age of patients was 61.2 years. Mean BMI was 25.9 kg/m2 . Mean ASA score was 2. Mean operative time was 225 minutes. Mean intraoperative blood loss was 45 ml. One intraoperative complication occurred – defect of anastomosis in the point of crossing of 3 stapler sutures. One postoperative complication occurred – postoperative ileus. Narcotic analgesics were not used. Mean duration of postoperative stay was 9.8 days. The primary results demonstrate feasibility of NOSES for rectal cancer with adequate qualification of colorectal surgeon.CONCLUSION: NOSES is a promising technique for rectal cancer surgery. However, the further experience and randomized trials are required.

Marginal artery stump pressure in left colic artery-preserving rectal cancer surgery: a clinical trial

2015 ◽  
Vol 87 (7-8) ◽  
pp. 576-581 ◽  
Author(s):  
Yuchen Guo ◽  
Daguang Wang ◽  
Liang He ◽  
Yang Zhang ◽  
Shishun Zhao ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Rectal Cancer ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Colic Artery ◽  
Left Colic Artery ◽  
Marginal Artery ◽  
Stump Pressure
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