IRIS U kit usefulness in transanal total mesorectal excision for lower rectal cancer to avoid urethral injury.

Autor: Ishii M; Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan. masatsugu.ishii@ompu.ac.jp., Nitta T; Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan., Kataoka J; The Department of Colorectal Surgery, National Cancer Center Hospital East, Kashiwa, Japan., Ueda Y; Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan., Matsutani A; Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan., Taki M; Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan., Kubo R; Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan., Ota M; Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan., Ishibashi T; Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan.
Jazyk: angličtina
Zdroj: BMC gastroenterology [BMC Gastroenterol] 2024 Jun 17; Vol. 24 (1), pp. 203. Date of Electronic Publication: 2024 Jun 17.
DOI: 10.1186/s12876-024-03279-8
Abstrakt: Transanal total mesorectal excision (taTME) has improved the laparoscopic dissection for rectal cancer in the narrow pelvis. Although taTME has more clinical benefits than laparoscopic surgery, such as a better view of the distal rectum and direct determination of distal resection margin, an intraoperative urethral injury could occur in excision ta-TME. This study aimed to determine the feasibility and efficacy of the ta-TME with IRIS U kit surgery. This retrospective study enrolled 10 rectal cancer patients who underwent a taTME with an IRIS U kit. The study endpoints were the safety of access (intra- or postoperative morbidity). The detectability of the IRIS U kit catheter was investigated by using a laparoscope-ICG fluorescence camera system. Their mean age was 71.4±6.4 (58-78) years; 80 were men, and 2 were women. The mean operative time was 534.6 ± 94.5 min. The coloanal anastomosis was performed in 80%, and 20% underwent abdominal peritoneal resection. Two patients encountered postoperative complications graded as Clavien-Dindo grade 2. The transanal approach with IRIS U kit assistance is feasible, safe for patients with lower rectal cancer, and may prevent intraoperative urethral injury.
(© 2024. The Author(s).)
Databáze: MEDLINE
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