Restorative proctectomy with colon pouch-anal anastomosis by laparoscopic transanal pull-through: An available option for low rectal cancer?

Wexner, Steven D.

doi:10.1007/s00464-007-9438-y

Cited by 9 publications

(7 citation statements)

References 2 publications

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“…Pull-through and extraction of the resected low rectal cancer via the anal canal is not new, and has also been described after laparoscopic total mesorectal excision, transanal intersphincteric dissection followed by coloanal hand-sewn anastomosis [10][11][12]. For tumours in the upper rectum or rectosigmoid colon, the specimen can be retrieved likewise via the anus.…”

Section: Discussionmentioning

confidence: 97%

Laparoscopic high anterior resection with natural orifice specimen extraction (NOSE) for early rectal cancer

Ooi

Quah

et al. 2009

Tech Coloproctol

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Laparoscopic surgery for colorectal cancer requires an abdominal incision to extract the resected specimen. We describe a technique for laparoscopic resection of an early-stage upper rectal cancer in a 51-year-old man followed by transanal specimen delivery, hence avoiding the need for making any additional abdominal incisions for retrieval of the specimen. Pneumoperitoneum was created, followed by medial-tolateral mobilization of the sigmoid colon, and take down of the splenic flexure and division of the inferior mesenteric vessels laparoscopically. The upper rectum distal to the tumour and proximal colon was transected with a laparoscopic stapler. The specimen was retrieved transanally via an opening in the rectal stump. The proximal colon was then delivered transanally and the anvil of the circular stapler inserted before returning it to the pelvic cavity. The rectal stump was transected again just below the opening to close off the stump, and the colorectal anastomosis was then completed intracorporeally. The patient, a 51-year-old male (BMI 18.6 kg/m(2)) with a 2.5-cm, early-stage posterior rectal cancer 12 cm from the anal verge, underwent the above-described procedure. Postoperative recovery was uneventful. He resumed normal daily activities 1 week after surgery. Histology confirmed a T1N0 upper rectal cancer. In the effort to minimize surgical trauma and postoperative pain, natural orifice specimen extraction techniques have been attempted. This procedure may be applicable to benign tumours and early colorectal cancer, and serves as an intermediate step between laparoscopic and natural orifice surgery.

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Section: Discussionmentioning

confidence: 97%

Laparoscopic high anterior resection with natural orifice specimen extraction (NOSE) for early rectal cancer

Ooi

Quah

et al. 2009

Tech Coloproctol

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“…While most NOTES procedures are still being developed using animal models, we described here a modification of a conventional minimally invasive technique that serves as a hybrid approach for patients with rectal cancer and that does not require minilaparotomy. Pull-through and extraction of the resected specimen via the anal canal is not new and its use has also been described after laparoscopic total mesorectal excision followed by coloanal anastomosis [27,28].…”

Section: Discussionmentioning

confidence: 99%

S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer

et al. 2010

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“…Not only for colon resections in patients with ulcerative colitis but also for ileocolic resections and colectomies in patients with Crohn's disease this method of specimen extraction is feasible [50,51] . Especially for patients with colectomy or proctectomy, extraction of the specimen through the rectum has been described in different studies [52,53] . For ileocolic resections, Eshuis et al [51] have reported that the specimen can be extracted by an intraoperative endoscopist before suturing of the anastomosis.…”

Section: Natural Orifice Specimen Extraction Techniques For Ibdmentioning

confidence: 99%

Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives

Neumann¹,

Rijcken²

2016

WJGPT

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Restorative proctectomy with colon pouch-anal anastomosis by laparoscopic transanal pull-through: An available option for low rectal cancer?

Cited by 9 publications

References 2 publications

Laparoscopic high anterior resection with natural orifice specimen extraction (NOSE) for early rectal cancer

Laparoscopic high anterior resection with natural orifice specimen extraction (NOSE) for early rectal cancer

S052: a comparison of robot-assisted, laparoscopic, and open surgery in the treatment of rectal cancer

Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives

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