scholarly journals Full-thickness neorectal prolapse after transanal transabdominal proctosigmoidectomy for low rectal cancer: a cohort study

2018 ◽  
Vol 20 (7) ◽  
pp. 593-596 ◽  
Author(s):  
M. Guraieb-Trueba ◽  
A. R. Helber ◽  
J. H. Marks
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Low Rectal Cancer ◽  
Full Thickness

Low rectal cancer treatment strategies: a cohort study assessing watch and wait

2020 ◽  
Vol 146 (10) ◽  
pp. 2631-2638
Author(s):  
João Cortez Pinto ◽  
António Dias Pereira ◽  
Ana Pimenta ◽  
Cátia Pedro ◽  
Gonçalo Fernandez ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Cancer Treatment ◽  
Treatment Strategies ◽  
Low Rectal Cancer ◽  
Watch And Wait ◽  
Rectal Cancer Treatment

Open versus laparoscopic surgery for low rectal cancer: a large multicenter cohort study in Japan.

2016 ◽  
Vol 34 (15_suppl) ◽  
pp. 3612-3612 ◽  
Author(s):  
Koya Hida ◽  
Ryosuke Okamura ◽  
Yoshiharu Sakai ◽  
Tsuyoshi Konishi ◽  
Tomonori Akagi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Laparoscopic Surgery ◽  
Low Rectal Cancer ◽  
Multicenter Cohort Study ◽  
Multicenter Cohort ◽  
Open Versus

Distinct Prognosis of High Versus Mid/Low Rectal Cancer: a Propensity Score–Matched Cohort Study

2019 ◽  
Vol 23 (7) ◽  
pp. 1474-1484 ◽  
Author(s):  
Lv-Jia Cheng ◽  
Jian-Hui Chen ◽  
Song-Yao Chen ◽  
Zhe-Wei Wei ◽  
Long Yu ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Propensity Score ◽  
Low Rectal Cancer ◽  
Matched Cohort ◽  
Matched Cohort Study

Efficacy of Anastomosis Enhancing Suture in Laparoscopic Anterior Resection of Middle-Low Rectal Cancer: A Prospective Cohort Study

2021 ◽  
Author(s):  
Jin-Shui Chen ◽  
Jia Zang ◽  
Shu-Xun Wei ◽  
Wen-Tao Yan ◽  
Hai-Yang Zhou ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Anterior Resection ◽  
Prospective Cohort ◽  
Low Rectal Cancer ◽  
Drainage Tube ◽  
Tube Placement ◽  
Laparoscopic Anterior Resection ◽  
Group A ◽  
Transanal Drainage Tube

Abstract Background：Anastomotic leakage (AL) limits the outcome after laparoscopic anterior resection (LAR) for middle-low rectal cancer. The study investigated the efficacy of laparoscopic anastomosis enhancing suture (LAES), preventive ileostomy and transanal drainage tube placement in reducing anastomotic leakage after LAR for middle-low rectal cancer.Methods：From April 2016 to April 2019, a prospective cohort study was performed on consecutive patients who underwent LAR for middle-low rectal cancer in Changzheng hospital. The patients were divided into group A, B, C and D in which LAES, transanal drainage tube placement, protective ileostomy, and no preventive treatment were applied, respectively. Clinical characteristics, operative variables and postoperative complication were compared between the groups.Results：Among 320 patients, 24 (7.5%) developed AL and incidence rate of AL was 1.3%, 12.5%, 1.3% and 15.0% in the four groups, respectively. Left colic artery preservation and neoadjuvant chemotherapy were found not associated with the incidence of AL. A total of 0, 2, 2 and 5 patients had anastomotic bleeding in the four groups, respectively. No patient underwent reoperation in group A and group C, while 5.0% (4/80) of the patients had reoperation in group B and group D due to grade C AL with severe symptoms.Conclusions：Compared with preventive ileostomy, LAES was effective in preventing AL after LAR for middle-low rectal cancer and relieving the complications of AL. The transanal drainage tube placement did not reduce the risk of AL.The study was retrospectively registered with the Chinese Clinical Trial Registry on 28th June 2016 (code: ChiCTR-IOR-17011777).

scholarly journals Clinical Efficacy Analysis and Long-Term Follow-Up Outcomes of Robotic Versus Laparoscopic Sphincter-Preserving Surgery in Total Mesorectal Excision for Low Rectal Cancer: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Bo Yang ◽  
Shangxin Zhang ◽  
Xiaodong Yang ◽  
Yigao wang ◽  
Deguan Li ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Sexual Function ◽  
Clinical Efficacy ◽  
Retrospective Cohort ◽  
Low Rectal Cancer ◽  
Short Term ◽  
Long Term Follow Up

Abstract Objective: The aim of this study is to compare short-term clinical efficacy and long-term follow-up outcomes of robotic-assisted sphincter-preserving surgery (RAS) with laparoscopic-assisted sphincter-preserving surgery (LAS) for low rectal cancer.Method: This was a single-center retrospective cohort study of consecutive patients diagnosed with low rectal cancer who underwent laparoscopic or robotic sphincter-preserving surgery (RAS 200, LAS 486) between January 1, 2015 and July 1, 2018. Results: Mean operation time was 249±64 min for RAS group and 249±64 min for LAS group (P＜0.001). the rate of temporary ileostomy was 64.5% for RAS and 51.6% for LAS (P=0.002). Time to liquid diet, firstly leaving bed time, removing catheter time and length of stay showed significant difference (all P＜0.001). The distance of distal resection margin in RAS group was closer than LAS group (P=0.004). The recovery from decreased urinary and female sexual function took more than 6 months after surgery in LAS group (P＜0.0001) but 3 months in RAS group (P＜0.0001). Male sexual function 6 months postoperatively was better in RAS group than LAS group (P＜0.001). The Wexner score showed similar results at 6 months after surgery (P＜0.001). And no significantly group difference were observed for OS or DFS at 3 and 5 years after surgery.Conclusion: Both robotic and laparoscopic sphincter-preserving surgery for low rectal cancer are safe and effective in clinical efficacy and long-term outcomes. The robotic approach showed some advantages in short-term recovery of urogenital and anorectal function.

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