Rectal Obstruction after Laparoscopic Low Anterior Resection and Postoperative Treatment That Could Be Treated by Magnet-Compressed Anastomotic Stenosis Restriction Surgery (Second Yamauchi Method)

AbstractTo identify low anterior resection syndrome (LARS) patterns and their associations with risk factors and quality of life (QOL). This cross-sectional study analyzed patients who underwent restorative anterior resection for left-sided colorectal cancer at Seoul National University Hospital, Seoul, Republic of Korea. We administered LARS questionnaires to assess bowel dysfunction and quality of life between April 2017 and November 2019. LARS patterns were classified based on factor analyses. Variable effects on LARS patterns were estimated using logistic regression analysis. The risk factors and quality of life associated with dominant LARS patterns were analyzed. Data of 283 patients with a median follow-up duration of 24 months were analyzed. Major LARS was observed in 123 (43.3%) patients. Radiotherapy (odds ratio [OR]: 2.851, 95% confidence interval [95% CI]: 2.504–43.958, p = 0.002), low anastomosis (OR: 10.492, 95% CI: 2.504–43.958, p = 0.001), and complications (OR: 2.163, 95% CI: 1.100–4.255, p = 0.025) were independently associated with major LARS. LARS was classified into incontinence- or frequency-dominant types. Risk factors for incontinence-dominant LARS were radiotherapy and complications, whereas those for frequency-dominant LARS included low tumor location. Patients with incontinence-dominant patterns showed lower emotional function, whereas those with frequency-dominant patterns showed lower global health QOL, lower emotional, cognitive, and social functions, and higher incidence of pain and diarrhea. Frequency-dominant LARS had a greater negative effect on QOL than incontinence-dominant LARS. These patterns could be used for preoperative prediction and postoperative treatment of LARS.

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Evaluation of the Quality, Educational Value and Utility of the Videos on YouTube for Laparoscopic Low Anterior Resection

The American Surgeon ◽

10.1177/00031348211011102 ◽

2021 ◽

pp. 000313482110111

Author(s):

Erol Piskin ◽

Muhammet Kadri Çolakoğlu ◽

Ali Bal ◽

Volkan Oter ◽

Erdal Birol Bostanci

Keyword(s):

Anterior Resection ◽

Low Anterior Resection ◽

Video Quality ◽

Relevant Information ◽

Teaching Quality ◽

Educational Value ◽

Laparoscopic Low Anterior Resection ◽

Significant Difference ◽

October 17

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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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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