Laparoscopic liver metastasectomy, retroperitoneal lymph node dissection and abdominoperineal resection for rectal cancer

Kazi, Mufaddal; Patkar, Shraddha; Sharma, Ankit; Desouza, Ashwin; Goel, Mahesh; Saklani, Avanish

doi:10.1111/ans.18540

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2024

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“…Simultaneous minimally invasive liver and colorectal resection are being increasingly adopted for conventional colorectal adenocarcinoma [ 3 – 6 ], and the same can be applied for NET liver metastasis as well. For suitable colorectal lesion sites and sizes, natural orifice specimen extraction surgery (NOSES) offers reduced postoperative pain and incisional site hernias with possible improvement in postoperative recovery [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Simultaneous laparoscopic liver metastasectomy and intersphincteric resection for neuroendocrine tumor of the rectum by natural orifice specimen extraction surgery

Kazi,

Patkar,

Saklani

2023

J Minim Invasive Surg

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Neuroendocrine tumors (NET) are relatively uncommon rectal neoplasms, and the liver is the most common site of distant metastasis. Simultaneous liver and colorectal resections by minimally invasive surgery and natural orifice specimen extraction are gaining popularity, reducing morbidity. We describe a case of rectal NET with liver metastasis operated simultaneously by laparoscopy with both specimens extracted via the anal canal. Transanal or transvaginal natural orifice specimen extraction surgery for suitable cases is underutilized and only isolated case reports for simultaneous resections exist.

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