Current technique of laparoscopic total mesorectal excision (TME): an international questionnaire among 368 surgeons

Abstract

The respondents showed an apparent preference for several aspects of LTME. Differences were related to expertise and still more to continent.

Standardization of Laparoscopic Total Mesorectal Excision for Rectal Cancer

“…13 The aim of the current study was to overcome differences and achieve a worldwide expert consensus. This process involved a structured, modified Delphi technique involving both quantitative and qualitative methods, with the aim to reach high levels of agreement among a group of dedicated experts.…”

New Insights into Autonomic Nerve Preservation in High Ligation of the Inferior Mesenteric Artery in Laparoscopic Surgery for Colorectal Cancer

“…In previous literatures, the descriptions of the relationships between the bilateral trunks of SHP and the root of the IMA are limited and vague. The bilateral trunks of SHP are named arbitrarily as the inferior mesenteric plexuses (Liang et al, 2008), paraorta trunks (Nano et al, 2004), preaorta plexus (Hida et al, 1999), lateral trunks of SHP (Paraskevas et al, 2008) or sympathetic trunks at the IMA level (Cheung et al, 2009). In Grey's anatomy, there is no definite nomination and descriptions about the bilateral trunks of SHP.…”

Colorectal cancer in aged patients. Toward the routine treatment through laparoscopic surgical approach

“…A T2N1 stage was evident in all the 3 cases of right colon cancer. Mean number of lymph nodes harvested by laparoscopic technique was 20 (range [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. Tables 1-3 summarize the results of our group of patients.…”

“…However, further studies concluded the higher rate in trocars' recurrences was probably attributed to lack of technique (12), and reported other trials in which recurrence rate in laparoscopic port sites was similar to wound metastasis in open surgery at about 1% (16). The significant decrease of alarmism for this threatening complication that initially compromised laparoscopic adoption for colorectal cancer is certainly due to tumor isolation techniques according to which specimen is extracted through wound protector (17).…”