Laparoscopic-Assisted Rectal Surgery for Rectal Cancer Using the Simple Rectum Catcher Device with an Intraoperative Colonoscopy: Results of Our Hospital Study in 203 Patients

Abstract

Laparoscopic lower rectal surgery using the RC with a CF is feasible and provides acceptable surgical and oncological outcomes.

Advantages of ligating the rectum with gauze pad band in laparoscopic anterior resection of rectal cancer: a propensity score matched analysis

“…Increased intraoperative bleeding has been reported to be associated with increased postoperative complications [ 21 ]. In the present study, less OP (203 min vs. 233 min, p < 0.001) and less intraoperative bleeding (48 ml vs. 67 ml, p < 0.001) were found in the GPB group, which similar to the results of Akiyo Matsumoto [ 10 ] and Sang Woo Lim [ 12 ]. The limitations of performing surgery in a narrow pelvis made it more difficult to provide adequate exposure and maintain proper tension [ 6 ].…”

“…Postoperative complication is one of the core indicators to assess postoperative recovery. The complication rate between the two group were similar (11/63 vs. 23/126, p = 0.893), consistent with the previous findings [ 10 , 12 ], which demonstrated the use of GPB is safe and feasible. Previous studies have reported that OP is associated with SSI [ 19 ].…”

“…The number of cases in early related articles was only 10 to 25 [ 7 – 9 ], which was not discussed in depth. In contrast, while recent studies mainly discussed that ligation of the rectum can reduce the number of cartridges related to increased anastomotic leakage (AL) [ 10 , 11 ] and improve the recent outcomes of surgery [ 10 – 12 ], but did not evaluate the pathological quality. In addition, because some of the ligation tools [ 11 , 12 ] selected by the institute cannot be untied, so it cannot be moved into the pelvis according to the specific situation, the hard tools are easy to damage the rectal canal and destroy the integrity of the mesorectum.…”

Intracorporeal Traction of the Rectum with a Beaded Plastic Urinary Drainage Bag Hanger: Comparison with Conventional Laparoscopic Rectal Cancer Surgery

“…Extraperitoneal cylindrical mesorectal excision and meticulous dissection along a proper plane need adequate traction and counter‐traction for exposure. Numerous studies have proposed various methods for rectal handling, mesorectal dissection, and transaction for rectosigmoid and rectal cancer during laparoscopic surgery [5–10]. Chung et al have used a cotton tape tie in laparoscopic colorectal surgery.…”

“…It is also effective in preventing local recurrence [5]. Matsumoto et al have reported laparoscopic lower rectal surgery using rectum catcher device with an intraoperative colonoscopy as a feasible approach with acceptable surgical and oncologic outcomes [6, 7]. Kuroyanagi et al have employed temporary intestinal clip with a clip applicator for rectal transaction and double stapling anastomosis [8].…”