Total Laparoscopic Sigmoid and Rectal Surgery in Combination with Transanal Endoscopic Microsurgery: a Preliminary Evaluation in China

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2012 Jul 19

PMID 22806529

Citations 16

Authors

Yi Han

Yong-Gang He

Hao-Bo Zhang

Ke-Zhi Lv

Ya-Jie Zhang

Mou-Bin Lin

Lu Yin

Affiliations

Soon will be listed here.

Abstract

Background: This study was designed to evaluate the feasibility and safety of total laparoscopic sigmoid and rectal surgery without abdominal incision in combination with transanal endoscopic microsurgery (TEM).

Methods: From May 2010 to October 2011, 34 patients with colon and rectal tumors were treated by total laparoscopic surgery without abdominal incision, and the clinical data of these patients were reviewed.

Results: All operations could be successfully accomplished without conversion to open surgery. No diverting ileostomy was created. The average operative time was 151.60 (range, 125-185) minutes. The average blood loss was 200.20 (range, 55-450) ml. All resection margins were negative. Six patients developed postoperative anastomotic leakage. There were no reports of other complications in all patients.

Conclusions: This preliminary study indicated that total laparoscopic sigmoid and rectal surgery in combination with TEM was a safe, feasible, and minimally invasive technique. This advanced surgical technique was developed by combining laparoscopy with the concept of natural orifice transluminal endoscopic surgery.

Citing Articles

Short- and long-term outcomes as well as anal function of transanal natural orifice specimen extraction surgery versus conventional laparoscopic surgery for sigmoid colon or rectal cancer resection: a retrospective study with over 5-year follow-up.

Zhang J, Li W, Li Y, Amin B, Zhang N, Sun Z Wideochir Inne Tech Maloinwazyjne. 2022; 17(2):344-351.

PMID: 35707343 PMC: 9186073. DOI: 10.5114/wiitm.2022.113567.

Laparoscopic lateral lymph node dissection in two fascial spaces for locally advanced lower rectal cancer.

Jiang H, Liu H, Li A, Wang W, Lv L, Peng J World J Gastroenterol. 2021; 27(24):3654-3667.

PMID: 34239276 PMC: 8240048. DOI: 10.3748/wjg.v27.i24.3654.

A Novel Method of Natural Orifice Specimen Extraction Surgery (NOSES) during Laparoscopic Anterior Resection for Rectal Cancer.

Wang J, Hong J, Wang Q, Luo F, Guo F Gastroenterol Res Pract. 2021; 2021:6610737.

PMID: 33574839 PMC: 7857920. DOI: 10.1155/2021/6610737.

Learning Transanal Total Mesorectal Excision.

McLemore E, Lavi P, Attaluri V Clin Colon Rectal Surg. 2020; 33(3):168-172.

PMID: 32351340 PMC: 7188506. DOI: 10.1055/s-0039-3402779.

Left colon resection with transrectal specimen extraction: current status.

Zattoni D, Popeskou G, Christoforidis D Tech Coloproctol. 2018; 22(6):411-423.

PMID: 29948523 DOI: 10.1007/s10151-018-1806-1.

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