Robotic‐assisted low anterior resection: beyond total mesorectal excision; a left vascular approach with presacral fascia excision – a video vignette

Kumar, Sanjeev; Rohila, Jitender; Sasi, Sajith P.; Tantravahi, Umasankar; Dharmakumar, K.G.; Sharma, Vivekanand; Garach, Niharika Rajan; Desouza, Ashwin; Saklani, Avanish

doi:10.1111/codi.14947

Colorectal Disease

2020

DOI: 10.1111/codi.14947

|View full text |Cite

Robotic‐assisted low anterior resection: beyond total mesorectal excision; a left vascular approach with presacral fascia excision – a video vignette

Sanjeev Kumar

Jitender Rohila

Sajith P. Sasi

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2020

Publication Types

Select...

Article1

Relationship

Self Cite1

Independent0

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[1]. We have previously published our technique for robotic‐assisted low anterior resection, which we called ‘beyond total mesorectal excision’; a left vascular approach with presacral fascia excision in locally advanced rectal cancer [2]. A few published videos demonstrate extended resections for locally advanced rectal cancers [3,4].…”

mentioning

confidence: 99%

Laparoscopic low anterior resection with extended total mesorectal excision for locally advanced rectal cancer – a video vignette

et al. 2020

Self Cite

View full text Add to dashboard Cite

We present the case of a 65-year-old man who was diagnosed at colonoscopy with a stenosing sigmoid adenocarcinoma 30 cm from the anal verge. Further investigations included CT, which showed a large sigmoid colon tumour with signs of a colovesical fistula and no distant metastases. CT colonography demonstrated no other proximal lesion. Cystoscopy demonstrated bladder dome retraction; the biopsy, however, showed no evidence of malignancy. In collaboration with a urologist, en bloc laparoscopic sigmoidectomy and resection of the bladder dome was performed, with closure of the bladder defect in two planes. Double J catheters were not used since the location (in the bladder dome) of the lesion allowed for safe resection without compromising the ureteric orifices in the trigone.A circular stapled end-to-end intracorporeal colorectal anastomosis was performed. The vascularity was assessed with the aid of indocyanine green fluorescence.The postoperative recovery was uneventful, with early start of diet and ambulation. The patient was discharged on the sixth postoperative day.High pressure cystography was performed in the third postoperative week without evidence of leakage. The final histopathological report showed a well-differentiated infiltrative adenocarcinoma with perineural invasion but free margins, pT4bN0.The magnified view provided by laparoscopy can help identify an adequate dissection plane. Laparoscopic en bloc resection of locally advanced colon cancer requiring resection of neighbouring organs is, however, a technically demanding procedure, and should be performed by laparoscopic surgeons with extensive experience in advanced colorectal cancer surgery.

show abstract

mentioning

confidence: 99%

Laparoscopic low anterior resection with extended total mesorectal excision for locally advanced rectal cancer – a video vignette

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Robotic‐assisted low anterior resection: beyond total mesorectal excision; a left vascular approach with presacral fascia excision – a video vignette

Cited by 1 publication

References 4 publications

Laparoscopic low anterior resection with extended total mesorectal excision for locally advanced rectal cancer – a video vignette

Laparoscopic low anterior resection with extended total mesorectal excision for locally advanced rectal cancer – a video vignette

Contact Info

Product

Resources

About