scholarly journals Transanal natural orifice transluminal endoscopic surgery total mesorectal excision in animal models: endoscopic inferior mesenteric artery dissection made easier by a retroperitoneal approach

2014 ◽  
Vol 87 (1) ◽  
pp. 1 ◽  
Author(s):  
Sun Jin Park ◽  
Dae Kyung Sohn ◽  
Tae Young Chang ◽  
Yunho Jung ◽  
Hyung Jin Kim ◽  
...  
Keyword(s):  
Animal Models ◽  
Total Mesorectal Excision ◽  
Endoscopic Surgery ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Retroperitoneal Approach ◽  
Artery Dissection ◽  
Natural Orifice ◽  
Mesorectal Excision

scholarly journals Transanal TME – really needed?

2017 ◽  
Vol 3 (1) ◽  
pp. 31-38
Author(s):  
Giovanni Dapri
Keyword(s):  
Total Mesorectal Excision ◽  
Endoscopic Surgery ◽  
Perioperative Complications ◽  
Rectal Polyp ◽  
Transanal Total Mesorectal Excision ◽  
Transanal Tme ◽  
Natural Orifice ◽  
Mesorectal Excision ◽  
Advantages And Disadvantages ◽  
Clinical Point

AbstractIn the last decade, thanks to natural orifice translumenal endoscopic surgery, the application of laparoscopy through the anus has gained interest from both research and clinical point of views. Therefore, an increased number of transanal procedures have been reported, from the resection of a large rectal polyp to total mesorectal excision, and for controlling perioperative complications like leak, bleeding, and stenosis. Currently, the most popular surgical trend remains transanal total mesorectal excision. In this article, the technique, advantages, and disadvantages are discussed.

scholarly journals Laparoscopic intraarterial catheterization with selective ICG fluorescence imaging in colorectal surgery

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Christian Heiliger ◽  
Jerzy Piecuch ◽  
Alexander Frank ◽  
Dorian Andrade ◽  
Viktor von Ehrlich-Treuenstätt ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Abdominal Cavity ◽  
Seldinger Technique ◽  
Resection Margins ◽  
Mesorectal Excision ◽  
Arterial Perfusion

AbstractThe quality of mesorectal resection is crucial for resection in rectal cancer, which should be performed by laparoscopy for better outcome. The use of indocyanine green (ICG) fluorescence is now routinely used in some centers to evaluate bowel perfusion. Previous studies have demonstrated in animal models that selective intra-arterial ICG staining can be used to define and visualize resection margins in rectal cancer. In this animal study, we investigate if laparoscopic intra-arterial catheterization is feasible and the staining of resection margins when performing total mesorectal excision with a laparoscopic medial to lateral approach is possible. In 4 pigs, laparoscopic catheterization of the inferior mesenteric artery (IMA) is performed using a seldinger technique. After a bolus injection of 10 ml ICG with a concentration of 0.25 mg/ml, a continuous intra-arterial perfusion was established at a rate of 2 ml/min. The quality of the staining was evaluated qualitatively. Laparoscopic catheterization was possible in all cases, and the average time for this was 30.25 ± 3.54 min. We observed a significant fluorescent signal in all areas of the IMA supplied, but not in other parts of the abdominal cavity or organs. In addition, the mesorectum showed a sharp border between stained and unstained tissue. Intraoperative isolated fluorescence augmentation of the rectum, including the mesorectum by laparoscopic catheterization, is feasible. Inferior mesenteric artery catheterization and ICG perfusion can provide a fluorescence-guided roadmap to identify the correct plane in total mesorectal excision, which should be investigated in further studies.

scholarly journals Is Low Inferior Mesenteric Artery Ligation Worthwhile to Prevent Urinary and Sexual Dysfunction After Total Mesorectal Excision for Rectal Cancer?

2020 ◽  
Vol 40 (8) ◽  
pp. 4223-4228
Author(s):  
ENRICO FIORI ◽  
DANIELE CROCETTI ◽  
ANTONIETTA LAMAZZA ◽  
FRANCESCA DE FELICE ◽  
ANTONIO V. STERPETTI ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Sexual Dysfunction ◽  
Total Mesorectal Excision ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesorectal Excision ◽  
Artery Ligation

Transanal natural orifice transluminal endoscopic surgery (NOTES) rectal resection: “down-to-up” total mesorectal excision (TME)—short-term outcomes in the first 20 cases

2013 ◽  
Vol 27 (9) ◽  
pp. 3165-3172 ◽  
Author(s):  
Antonio M. de Lacy ◽  
David W. Rattner ◽  
Cedric Adelsdorfer ◽  
Marta M. Tasende ◽  
María Fernández ◽  
...  
Keyword(s):  
Total Mesorectal Excision ◽  
Endoscopic Surgery ◽  
Rectal Resection ◽  
Natural Orifice ◽  
Mesorectal Excision ◽  
Short Term

Transanal rectosigmoid resection via natural orifice translumenal endoscopic surgery (NOTES) with total mesorectal excision in a large human cadaver series

2012 ◽  
Vol 27 (1) ◽  
pp. 74-80 ◽  
Author(s):  
Dana A. Telem ◽  
Kyung Su Han ◽  
Min-Chan Kim ◽  
Ifode Ajari ◽  
Dae Kyung Sohn ◽  
...  
Keyword(s):  
Total Mesorectal Excision ◽  
Endoscopic Surgery ◽  
Human Cadaver ◽  
Natural Orifice ◽  
Mesorectal Excision ◽  
Rectosigmoid Resection

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

2018 ◽  
Vol 52 (7) ◽  
pp. 561-564
Author(s):  
Suresh Giragani ◽  
Ankit Balani ◽  
Viswanath Reddy ◽  
Keerthi Talari Bommakanti ◽  
Surendar Alwala ◽  
...  
Keyword(s):  
Lupus Erythematosus ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
English Literature ◽  
Rare Condition ◽  
Surgical Reconstruction ◽  
Artery Dissection ◽  
Chronic Mesenteric Ischemia ◽  
Systemic Lupus

We report the clinical details, imaging findings, and management for a 39-year-old female presenting with recurrent episodes of pain in abdomen due to systemic lupus erythematous vasculitis associated with spontaneous isolated inferior mesenteric dissection. Spontaneous mesenteric artery dissection is an uncommon cause of mesenteric ischemia. Symptomatic spontaneous isolated inferior mesenteric artery (IMA) dissection is a rare condition, and its association with systemic lupus erythematosus is not previously described in the English literature. The optimal treatment options are debatable and include medical management, surgical reconstruction, and endovascular therapy. We wish to highlight spontaneous isolated IMA dissection as a rare etiology for chronic mesenteric ischemia and its management by endovascular methods.

A pilot study of natural orifice transanal endoscopic total mesorectal excision with laparoscopic assistance for rectal cancer

2013 ◽  
Vol 27 (9) ◽  
pp. 3396-3405 ◽  
Author(s):  
Patricia Sylla ◽  
Liliana G. Bordeianou ◽  
David Berger ◽  
Kyung S. Han ◽  
Gregory Y. Lauwers ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Pilot Study ◽  
Total Mesorectal Excision ◽  
Natural Orifice ◽  
Mesorectal Excision ◽  
Laparoscopic Assistance

Natural orifice total mesorectal excision using transanal port and laparoscopic assistance

2011 ◽  
Vol 37 (4) ◽  
pp. 334-335 ◽  
Author(s):  
J.-J. Tuech ◽  
V. Bridoux ◽  
B. Kianifard ◽  
L. Schwarz ◽  
B. Tsilividis ◽  
...  
Keyword(s):  
Total Mesorectal Excision ◽  
Natural Orifice ◽  
Mesorectal Excision ◽  
Laparoscopic Assistance
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