Transanal Total Mesorectal Excision With Single-Incision Laparoscopy for Rectal Cancer
| Autor: | Jeremy Yip, Wai Lun Law, Dominic Chi-Chung Foo, R Wei, Hok Kwok Choi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty Single-incision laparoscopy Colorectal cancer Colon medicine.medical_treatment Operative Time Blood Loss Surgical Rectum Proctoscopy 03 medical and health sciences 0302 clinical medicine Scientific Papers Medicine Humans Single incision laparoscopy Rectal cancer Laparoscopy Digestive System Surgical Procedures Aged Patient Care Team Pain Postoperative medicine.diagnostic_test business.industry Ileostomy Rectal Neoplasms Cancer Middle Aged medicine.disease Total mesorectal excision TAMIS Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Anal verge Feasibility Studies 030211 gastroenterology & hepatology Female business Transanal total mesorectal excision |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 |
| Popis: | © 2016 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. Background and Objectives: There has been great enthusiasm for the technique of transanal total mesorectal excision. Coupled with this procedure, we performed single-incision laparoscopic surgery for left colon mobilization. This is a description of our initial experience with the combined approach. Methods: Patients with distal or mid rectal cancer were included. The operation was performed by 2 teams: one team performed the single-incision mobilization of the left colon via the right lower quadrant ileostomy site, and the other team performed the total mesorectal excision with a transanal platform. Results: During the study period, 10 patients (5 men) with cancer of the rectum underwent the surgery. The mean age was 62.2 ± 11.1 years, and the mean body mass index was 23.4 ± 3.2 kg/m 2 . The tumorâ s mean distance from the anal verge was 5.1 ± 2.5 cm. The median operating time was 247.5 minutes (range, 188â 462 minutes). The mean estimated blood loss was 124 ± 126 mL (range, 10â 188 mL). Conversion to multiport laparoscopy was needed in one case (10%). Postoperative pain, as reflected by the pain score, was minimal. The mean number of lymph nodes harvested was 15.6 ± 3.8. All specimens had clear distal and circumferential radial margins. The overall complication rate was 10%. Conclusion: Our experience showed transanal total mesorectal excision with single-incision laparoscopy to be a feasible option for rectal cancer. Patients reported minimal postoperative pain. Further studies on the long-term outcome are warranted. Link_to_subscribed_fulltext |
| Databáze: | OpenAIRE |
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