Hand-Assisted Laparoscopic Low Anterior Resection for Rectal Carcinoma

Background Minimally invasive surgery is a rising trend in colorectal surgery and is on its way to becoming the gold standard due to the benefits it provides for patients. This study aims to test the efficacy for educational purposes by evaluating the videos published on YouTube ( www.youtube.com ) channel for low anterior resection procedure in rectum surgery. Methods We searched YouTube on October 17, 2020 to choose video clips that included relevant information about laparoscopic low anterior resection (LAR) for rectal cancer. Results We included 25 academics and 75 individual videos in this study. The teaching quality of the videos was evaluated according to academic and individual videos, and it was seen that the teaching quality scores of academic videos were higher and this result was statistically significant ( P = .03). The modified Laparoscopic Surgery Video Educational Guidelines (LAP-VEGaS) criteria were found that the score was higher in individual videos ( P = .014). The median Video Power Index (VPI) value was 1.50 (range .05-347) and the mean ratio was 7.01 ± 3.52. There was no statistically significant difference between the 2 groups ( P = .443). Discussion Video-based surgical learning is an effective method for surgical education. Our study showed that the video quality and educational content of most of the videos about the low anterior resection procedure on YouTube were low. The videos of academic origin seem more valuable than individual videos. As far as video popularity is concerned, YouTube viewers are not selective. For this reason, training videos to be used for educational purposes must be passed through a standardized evaluation filter.

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Laparoscopic low anterior resection for rectal cancer with rectal prolapse: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-017-1555-1 ◽

2018 ◽

Vol 12 (1) ◽

Cited By ~ 3

Author(s):

Ryusei Yamamoto ◽

Yasuji Mokuno ◽

Hideo Matsubara ◽

Hirokazu Kaneko ◽

Shinsuke Iyomasa

Keyword(s):

Rectal Cancer ◽

Case Report ◽

Rectal Prolapse ◽

Anterior Resection ◽

Low Anterior Resection ◽

Laparoscopic Low Anterior Resection

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Histopathologic Analysis of Intestinal Endometriosis after Laparoscopic Low Anterior Resection

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2010.08.696 ◽

2011 ◽

Vol 18 (1) ◽

pp. 48-53 ◽

Cited By ~ 5

Author(s):

Makoto Jinushi ◽

Atsushi Arakawa ◽

Toshiharu Matsumoto ◽

Jun Kumakiri ◽

Mari Kitade ◽

...

Keyword(s):

Anterior Resection ◽

Low Anterior Resection ◽

Intestinal Endometriosis ◽

Laparoscopic Low Anterior Resection ◽

Histopathologic Analysis

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The association of age with decline in renal function after low anterior resection and loop ileostomy for rectal cancer: a retrospective cohort prognostic factor study

BMC Geriatrics ◽

10.1186/s12877-020-02001-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Amal Rhemouga ◽

Stefan Buettner ◽

Wolf O. Bechstein ◽

Guido Woeste ◽

Teresa Schreckenbach

Keyword(s):

Rectal Cancer ◽

Rectal Carcinoma ◽

Anterior Resection ◽

Low Anterior Resection ◽

Older Patients ◽

Retrospective Cohort ◽

Loop Ileostomy ◽

Linear Regression Analysis ◽

Multivariate Linear Regression Analysis ◽

Group B

Abstract Background Low anterior resection (LAR) is often performed with diverting loop ileostomy (DLI) for anastomotic protection in patients with rectal cancer. We aim to analyze, if older patients are more prone to a decline in kidney function following creation and closure of DLI after LAR for rectal carcinoma versus younger patients. Methods A retrospective cohort study from a database including 151 patients undergoing LAR for rectal carcinoma with DLI was used. Patients were divided in two age groups (Group A: <65 years, n = 79; Group B: ≥65 years, n = 72). For 123 patients undergoing DLI reversal prognostic factors for an impairment of serum creatinine (SCr) and estimated glomerular filtration rate (eGFR) 3 months after DLI reversal was analyzed using a multivariate linear regression analysis. Results SCr before LAR(T0) was significant higher in Group B (P = 0.04). Accordingly, the eGFR at T0 in group B was significantly lower (P < 0.001). No patients need to undergo hemodialysis after LAR or DLI reversal. Age and SCr at T0were able to statistically significant predict an increase in SCr (P<0.001) and eGFR (P=0.001) three months after DLI reversal (The R² for the overall model was .82 (adjusted R² = .68). Conclusion DLI creation may result in a reduction of eGFR in older patients 3 months after DLI closure. Apart from this, patients do not have a higher morbidity after creation and closure of DLI resulting from LAR regardless of their age.

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A comparison of the complication rates between laparoscopic colectomy and laparoscopic low anterior resection

Surgical Endoscopy ◽

10.1007/s00464-004-8149-x ◽

2004 ◽

Vol 18 (10) ◽

pp. 1447-1451 ◽

Cited By ~ 17

Author(s):

S. Yamamoto ◽

S. Fujita ◽

T. Akasu ◽

Y. Moriya

Keyword(s):

Laparoscopic Colectomy ◽

Anterior Resection ◽

Low Anterior Resection ◽

Complication Rates ◽

Laparoscopic Low Anterior Resection

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Transanal Anastomosis Method and Prolapsing Technique in Totally Laparoscopic Low Anterior Resection for Lower Rectal Cancer

International Surgery ◽

10.9738/intsurg-d-15-00213.1 ◽

2021 ◽

Vol 105 (1-3) ◽

pp. 21-25

Author(s):

Takuya Shiraishi ◽

Naoki Tomizawa ◽

Tatsumasa Andoh ◽

Takuhisa Okada ◽

Naoya Ozawa

Keyword(s):

Laparoscopic Surgery ◽

Anterior Resection ◽

Low Anterior Resection ◽

Abdominal Cavity ◽

Intracorporeal Anastomosis ◽

Lower Rectal Cancer ◽

Abdominal Incision ◽

Laparoscopic Low Anterior Resection ◽

Double Stapling ◽

Totally Laparoscopic

There are some reports of totally laparoscopic surgery performed by intracorporeal anastomosis without abdominal incision. However, intracorporeal anastomosis with prolapsing technique is difficult and complicated via laparoscopic surgery alone. We found it easier to achieve totally laparoscopic low anterior resection (LAR) by anastomosis anally. Our procedure was performed in 32 patients. After the prolapsed rectum with the tumor was transected, reconstruction was performed by using a double-stapling technique (DST) or a hand-sewn technique (HST). In the DST, the proximal colon was pulled outside transanally, and the anvil head was inserted into the colon and returned to the abdominal cavity. The anal-side rectum was closed using a linear stapling device, and DST was performed. The HST was modified from intersphincteric resection anastomosis. No patient experienced complications associated with this procedure. Cosmetic satisfaction was achieved. All patients obtained disease-free margins pathologically, and none experienced local recurrence. Intracorporeal anastomosis of totally laparoscopic low anterior resection is difficult via laparoscopic ports only. It can be simplified by operating with anastomosis via the anus.

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