Simple surgical method for clamping the rectum in robot‐assisted laparoscopic rectal surgery for rectal cancer – simple clamping technique – a video vignette

2021 ◽  
Author(s):  
Hiroshi Takeyama ◽  
Shingo Noura ◽  
Yozo Suzuki ◽  
Hiroshi Imamura ◽  
Naohiro Tomita ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Rectal Surgery ◽  
Robot Assisted ◽  
Surgical Method ◽  
Laparoscopic Rectal Surgery ◽  
Video Vignette

Robot-assisted laparoscopic rectal surgery: operative technique and initial experiences

2021 ◽  
Author(s):  
Bianka Hummel ◽  
Anna Nagel ◽  
Benjamin Süsoy ◽  
Linda Tarantik ◽  
Linda Michlmayr ◽  
...  
Keyword(s):  
Operative Technique ◽  
Rectal Surgery ◽  
Robot Assisted ◽  
Laparoscopic Rectal Surgery

Short-Term Outcomes of Laparoscopic Rectal Surgery for Primary Rectal Cancer in Elderly Patients: Is it Safe and Beneficial?

2009 ◽  
Vol 13 (9) ◽  
pp. 1614-1618 ◽  
Author(s):  
Takashi Akiyoshi ◽  
Hiroya Kuroyanagi ◽  
Masatoshi Oya ◽  
Tsuyoshi Konishi ◽  
Meiki Fukuda ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Elderly Patients ◽  
Rectal Surgery ◽  
Short Term ◽  
Primary Rectal Cancer ◽  
Laparoscopic Rectal Surgery

scholarly journals Single-Access Laparoscopic Rectal Surgery Is Technically Feasible

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Siripong Sirikurnpiboon ◽  
Paiboon Jivapaisarnpong
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Total Mesorectal Excision ◽  
Perioperative Complications ◽  
Rectal Surgery ◽  
Anal Canal Cancer ◽  
Mesorectal Excision ◽  
Single Access ◽  
Laparoscopic Rectal Surgery ◽  
The Mean

Introduction. Single-access laparoscopic surgery (SALS) has been successfully introduced for colectomy surgery; however, for mid to low rectum procedures such as total mesorectal excision, it can be technically complicated. In this study, we introduced a single-access technique for rectum cancer operations without the use of other instruments.Aims. To show the short-term results of single-access laparoscopic rectal surgery in terms of pathologic results and immediate complications.Settings and Design. Prospective study.Materials and Methods. We selected middle rectum to anal canal cancer patients to undergo single-access laparoscopic rectal resection for rectal cancer. All patients had total mesorectal excisions. An umbilical incision was made for the insertion of a single multichannel port, and a mesocolic window was created to identify the inferior mesenteric artery and vein. Total mesorectal excision was performed. There were no perioperative complications. The mean operative time was 269 minutes; the median hospital stay was 7 days; the mean wound size was 5.5 cm; the median number of harvested lymph nodes was 15; and all patients had intact mesorectal capsules.Statistical Analysis Used. Mean, minimum–maximum.Conclusion. Single-access laparoscopic surgery for rectal cancer is feasible while oncologic principles and patient safety are maintained.

scholarly journals Impact of Procedure Time of Preceding Endoscopic Submucosal Dissection on the Difficulty of Laparoscopic Rectal Surgery

2020 ◽  
Author(s):  
Hiroaki Nozawa ◽  
Kazushige Kawai ◽  
Kazuhito Sasaki ◽  
Shigenobu Emoto ◽  
Koji Murono ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Blood Loss ◽  
Operative Time ◽  
Anal Verge ◽  
Rectal Surgery ◽  
Tumor Location ◽  
Intraoperative Blood Loss ◽  
Procedure Time ◽  
Laparoscopic Rectal Surgery

Abstract Background Endoscopic treatment for gastrointestinal cancer can cause inflammation, edema, and fibrosis formation in the surrounding tissue. Recently, we reported that preceding endoscopic treatment increased the volume of intraoperative blood loss and slightly prolonged the operative time of laparoscopic surgery for rectal cancer. In this study, we addressed which factors, including endoscopic submucosal dissection (ESD)- related parameters, affect the difficulty of laparoscopic rectal surgery. Methods We retrospectively reviewed 24 consecutive patients who underwent ESD followed by laparoscopic surgery for rectal cancer in our hospital. Short-term surgical outcomes were evaluated by intraoperative blood loss and operative time for laparoscopic surgery. The correlations between the surgical outcomes and preoperative parameter were analyzed by scatter diagrams and multiple linear regression analyses. Results The patient cohort comprised 12 men and 12 women. The median distance between primary cancer and anal verge was 7 cm. The median procedure time of ESD was 120 minutes (21 available cases). The scatter diagram graph revealed a positive correlation between the ESD procedure time and estimated blood loss during rectal surgery (rs = 0.26). There was no association between the ESD procedure time and operative time for rectal surgery. Based on multiple linear regression analyses, the ESD procedure time (p = 0.007) and tumor location from the anal verge (p = 0.046) were independently predictive of intraoperative blood loss. On the other hand, only tumor location was found an independent predictor of surgical time (p = 0.014). Conclusions A long session of ESD for rectal cancer may make subsequent laparoscopic surgery difficult based on intraoperative blood loss.

scholarly journals The role of splenic flexure mobilization in laparoscopic rectal surgery for rectal cancer

2018 ◽  
Vol 2 (10) ◽  
pp. 35 ◽  
Author(s):  
Tao-Wei Ke ◽  
Christian Ross Geniales ◽  
William Tzu-Liang Chen
Keyword(s):  
Rectal Cancer ◽  
Splenic Flexure ◽  
Rectal Surgery ◽  
Splenic Flexure Mobilization ◽  
Laparoscopic Rectal Surgery

scholarly journals Transrectal ultrasound image-based real-time augmented reality guidance in robot-assisted laparoscopic rectal surgery: a proof-of-concept study

2019 ◽  
Vol 15 (3) ◽  
pp. 531-543 ◽  
Author(s):  
Jun Shen ◽  
Nabil Zemiti ◽  
Christophe Taoum ◽  
Guillaume Aiche ◽  
Jean-Louis Dillenseger ◽  
...  
Keyword(s):  
Augmented Reality ◽  
Real Time ◽  
Transrectal Ultrasound ◽  
Rectal Surgery ◽  
Ultrasound Image ◽  
Proof Of Concept ◽  
Robot Assisted ◽  
Concept Study ◽  
Laparoscopic Rectal Surgery

scholarly journals Impact of Procedure Time of Preceding Endoscopic Submucosal Dissection on the Difficulty of Laparoscopic Rectal Surgery

2021 ◽  
Vol 105 (1-3) ◽  
pp. 528-532
Author(s):  
Hiroaki Nozawa ◽  
Kazushige Kawai ◽  
Kazuhito Sasaki ◽  
Shigenobu Emoto ◽  
Koji Murono ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Blood Loss ◽  
Operative Time ◽  
Anal Verge ◽  
Rectal Surgery ◽  
Tumor Location ◽  
Intraoperative Blood Loss ◽  
Procedure Time ◽  
Laparoscopic Rectal Surgery

Objetive:  In this study, we addressed which factors, including endoscopic submucosal dissection (ESD)–related parameters, affect the difficulty of laparoscopic rectal surgery. Summary of background data:  Endoscopic treatment for gastrointestinal cancer can cause inflammation, edema, and fibrosis formation in the surrounding tissue. Recently, we reported that preceding endoscopic treatment increased the volume of intraoperative blood loss and slightly prolonged the operative time of laparoscopic surgery for rectal cancer. Methods:  We retrospectively reviewed 24 consecutive patients who underwent ESD followed by laparoscopic surgery for rectal cancer in our hospital. Short-term surgical outcomes were evaluated by intraoperative blood loss and operative time for laparoscopic surgery. The correlations between the surgical outcomes and preoperative parameter were analyzed by multiple linear regression analyses. Results:  The patient cohort comprised 12 men and 12 women. The median distance between primary cancer and anal verge was 7 cm. The median procedure time of ESD was 120 minutes (21 available cases). Based on multiple linear regression analyses, the ESD procedure time (P = 0.007) and tumor location from the anal verge (P = 0.046) were independently predictive of intraoperative blood loss. On the other hand, only tumor location was found to be an independent predictor of surgical time (P = 0.014). Conclusions:  A long session of ESD for rectal cancer may make subsequent laparoscopic surgery difficult based on intraoperative blood loss.

Laparoscopic rectal surgery for middle and lower rectal cancer

2009 ◽  
Vol 24 (1) ◽  
pp. 145-151 ◽  
Author(s):  
Yosuke Fukunaga ◽  
Masayuki Higashino ◽  
Shinnya Tanimura ◽  
Masashi Takemura ◽  
Yushi Fujiwara
Keyword(s):  
Rectal Cancer ◽  
Rectal Surgery ◽  
Lower Rectal Cancer ◽  
Laparoscopic Rectal Surgery
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