Anus-preserving rectectomy<i>via</i>telescopic colorectal mucosal anastomosis for low rectal cancer: Experience from a Chinese cohort

Li, Shiyong; Chen, Gang; Xue, Bai; Zuo, Fuyi; Chen, Guang; Du, Jun; Xiao-jun, Wei; Cui, Wei

doi:10.3748/wjg.v19.i24.3841

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…Significantly, the effectiveness of TCMA rests on the TME principles that facilitate aspects like radical resection of the tumor and effective dissection of lymph nodes. The use of TME facilitates the attainment of both the circumferential margin and negative distal that lessens local recurrence after the operation (6 ). Therefore, from the results, TCMA exists as a safe and feasible therapy for individuals with lower rectal cancer.…”

Section: Assessment Of Therapeutic Resultsmentioning

confidence: 99%

“…After the swelling process, there was circumferential incision of the mucosa at almost 2.0cm above the dentate line. Besides, dissection occurred by mobilizing the rectum via the mucosa plane to approximately 2.4cm before clamping cutting the distal margin of the rectum while conserving the whole mucosal layer of the rectum (6). The pulling of the colon's distal end through the anus was followed by telescopic colorectal mucosa anastomosis (TCMA).…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…The four interrupted suture were places based on 10, 2, 4, and 8 clock positions based on lithotomy positions respectively to enhance relaxation and fixation. Also, the four interrupted absorbable suture in the distal edge of the colon and residual rectal mucosa was positioned at 10, 2, 4, and 8 clock's position proceeded by 3-6 additional sutures (6). Notably, a pelvic drainage tube was located before the abdominal wall's closures to enhance the removal of the decimal suture and repositioning of the anastomotic stoma to its initial location in the anal canal.…”

Section: Surgical Proceduresmentioning

confidence: 99%

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A purpose of colorectal anastomosis

Coco¹,

Leanza²

2022

World J. Adv. Res. Rev.

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This review aimed to define and evaluate the new technique which telescopic anastomosis in managing intestinal injuries like leakages. The method gives a fast, secure, and easy approach in limiting intestine leakages. Moreover, the need to determine the credibility of telescopic anastomosis made the research focus on comparing the new technique with the suturing method. The study applied 18 dogs weighing approximately 20-30 kg and divided into two groups (A and B). All the animals were injected with intra-abdominal infection using small perforation in the bowel. Primarily, the animals were left to settle for almost 24 hours before closing the perforation by telescopic anastomosis in group B and simple hand suturing for group A. Notably, the animals were operated after some time, and the anastomosis regions have taken for radiologic analysis. The results showed stenosis in 6 animals of group B because of telescopic anastomosis even without a leakage. Thus, the outcomes provided telescopic anastomosis as an essential method to repair intestine leakages compared to other methods like a suture.

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Section: Assessment Of Therapeutic Resultsmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

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A purpose of colorectal anastomosis

Coco¹,

Leanza²

2022

World J. Adv. Res. Rev.

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“…Although many studies have reported primary colorectal carcinoma treated by NOSES, 3 , 4 , 7 – 12 the application of NOSES in the treatment of rectal implantation metastasis of ovarian cancer has not been described. We successfully performed transanal specimen extraction via laparoscopic rectectomy without an abdominal incision in this patient with recurrent rectal implantation from ovarian cancer.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of recurrent rectal implantation metastasis of ovarian cancer by natural orifice specimen extraction surgery: a case report

Bin

Ren

et al. 2018

OTT

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We first describe the application of natural orifice specimen extraction surgery in the treatment of a rectal implantation metastasis tumor from ovarian cancer. One patient diagnosed with recurrent rectal implantation metastasis 1 year after the removal of ovarian cancer successfully underwent transanal specimen extraction via laparoscopic rectectomy without an abdominal incision at the National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College in March 2017. The operation time was 118 minutes, and the intraoperative blood loss was 5 mL. The specimen was extracted via the anus during the operation, and the resection margin was negative. The patient recovered well without complications. Anal function was normal, and the stoma and abdominal incision were well healed after 1 month of follow-up. This study supports the idea that the application of natural orifice specimen extraction surgery for rectal implantation metastasis from ovarian cancer is safe and feasible and can achieve satisfactory outcomes.

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Laparoscopic Upper Rectal Cancer Resection with Transvaginal Specimen Extraction (CRC-NOSES V)

Wang,

Zhao

2023

Natural Orifice Specimen Extraction Surgery

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Anus-preserving rectectomyviatelescopic colorectal mucosal anastomosis for low rectal cancer: Experience from a Chinese cohort

Abstract: TCMA for patients with low rectal cancer leads to better quality of life and satisfactory defecation function, and lowers anastomotic leakage occurrence, and might be one of the safe operative procedures in anus-preserving rectectomy.

Cited by 6 publications

References 22 publications

A purpose of colorectal anastomosis

A purpose of colorectal anastomosis

Successful treatment of recurrent rectal implantation metastasis of ovarian cancer by natural orifice specimen extraction surgery: a case report

Laparoscopic Upper Rectal Cancer Resection with Transvaginal Specimen Extraction (CRC-NOSES V)

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