Lugar de la cirugía local en el adenocarcinoma de recto T2N0M0

Serra‐Aracil, Xavier; Juncá, Jordi Bombardó; Mora, Laura; Moral, Manuel Alcántara; Garnica, Isidro Ayguavives; Marti, A.; Casado, A; Pijaume, Carles Pericay; Ríos, Rafael Campo Fernández de los; Soto, Salvador Navarro

doi:10.1016/j.ciresp.2008.09.007

Cited by 16 publications

(1 citation statement)

References 25 publications

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“…3 As we have mentioned in our first description of the technique, 5 in our experience we have identified several reasons that make it suitable for rectal prolapse repair: (a) it is a minimally invasive technique that can be safely performed in elderly and very elderly patients; 11 (b) its effectiveness in the treatment of disorders other than rectal cancer has been demonstrated, 12 without significant alterations in anorectal function; 13 (c) our group has shown that it is feasible and safe to perform circular anastomoses using TEO after excision of large rectal villous adenomas that practically cover the 4 quadrants of the circumference; 14 (d) the treatment of lesions in the rectosigmoid junction is possible and is not associated with higher morbidity and mortality; 15 (e) in patients who had to undergo abdominal surgery after an TEO because of adenocarcinoma (T2), significant pelvic fibrosis has been evidenced in the resection area. 16 This point may be the one that makes a technical difference to the Altemeier procedure. As we said before, at the beginning of each continuous suture of the anastomosis, stitches are fixed to the wall of the pelvis, so that they create fibrosis over it.…”

Section: Discussionmentioning

confidence: 99%

Transanal Endoscopic Microsurgery: An Alternative Perineal Approach to Treat Rectal Prolapse: A Video Vignette

Pallisera‐Lloveras¹,

Arruabarrena-Oyarbide

Mora-López³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Purpose: Laparoscopic ventral rectopexy is the most favored surgical treatment for rectal prolapse. Perineal approaches are recommended for frail patients and those with major comorbidities, and in young men to avoid genitourinary disorders. There are very few descriptions in the literature of transanal endoscopic surgery to treat complete rectal prolapse. The aim of this article is to describe our experience with this technique.Patients and Methods: Patients undergoing transanal endoscopic surgery for rectal prolapse repair between 2010 and 2019 were recruited for the study. Preoperative, surgical, and postoperative variables were recorded. Surgical technique, 30-day morbidity and follow-up are described.Results: Five patients have been included. The postoperative period was uneventful and all patients were discharged in 48 hours without complications. All showed improved symptoms at 1-year control, and none presented recurrence in a mean follow-up period of 6 years. Conclusions:The transanal endoscopic procedure allows improved endoscopic vision, and the reconstruction is performed transpelvically by fixing the anastomosis suture to the pelvic wall to prevent recurrence. Therefore, we think it is a valid alternative to other perineal procedures in patients in whom abdominal surgery is contraindicated.

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