Transanal natural orifice specimen extraction for laparoscopic anterior resection in rectal cancer

Han, Fanghai; Hua, Liang; Zhao, Zhi Gang; Wu, Jianhai; Zhan, Wei

doi:10.3748/wjg.v19.i43.7751

Cited by 30 publications

(22 citation statements)

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“…All patients were commenced on ambulatory physiotherapy and tolerated oral intake by the first post-operative day, and all met discharge criteria by the third post-operative day. There were no incidences of anastomotic leaks, fissures, or deterioration of anal continence as measured by Wexner scores immediately post-operatively and during outpatient review over a median follow-up of 9 months (range, [8][9][10][11]. The two oldest patients had preoperative Wexner scores of '1', remaining unchanged postoperatively.…”

Section: Resultsmentioning

confidence: 91%

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Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns

Ngu

Wong

2015

ANZ Journal of Surgery

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Section: Resultsmentioning

confidence: 91%

“…1,7,8 Either method has its shortcomings and limitations. We are partial to the transanal technique as it provides a consistent anatomical route for extraction independent of gender, especially as most of our patients are male.…”

Section: Discussionmentioning

confidence: 99%

Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns

Ngu

Wong

2015

ANZ Journal of Surgery

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“…In order to avoid direct contact between the specimen and natural orifice the transluminal endoscopic operation port was used. Studies had emerged sustaining the efficacy and safety of this method (15,16).…”

Section: Discussionmentioning

confidence: 99%

Transanal Total Mesorectal Excision - A Case Report

Tudor¹,

Minciuna²,

Lacatus³

et al. 2019

chr

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RezumatExcizia totalã a mezorectului prin abord transanal (TaTME) este o noţiune introdusã pentru prima datã în 2010 şi reprezintã o abordare relativ nouã în cadrul tratamentului chirurgical al cancerului colorectal. Prezentãm cazul unei paciente în vârsta de 65 de ani, diagnosticatã cu adenocarcinom moderat diferenţiat de rect mediu, cT2N0M0, la care s-a practicat o rezecţie totalã de mezorect prin abord transanal (TaTME). Tehnica chirurgicalã şi posibilele dificultãţi asociate sunt prezentate, inclusiv potenţiale complicaţii postoperatorii şi problemele de siguranţã oncologicã. TaTME reprezintã o opţiune sigurã şi fezabilã în tratamentul cancerului colorectal. Sunt necesare studii suplimentare pentru a confirma superioritarea metodei faţã de excizia totalã a mezorectului prin abord laparoscopic.Cuvinte cheie: excizia totalã a mezorectului prin abord transanal, TaTME, cancer rectal, excizia totalã a mezorectului Abstract Transanal total mesorectal excision (TaTME), first introduced in 2010, represents a relatively new approach in the surgical treatment of rectal cancer. A case of a 65-years-old patient diagnosed with moderately differentiated adenocarcinoma of the

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“…Several retrospective studies have demonstrated that a D3 lymphadenectomy contributes to reducing both the local recurrence and distant metastasis and ameliorates the survival of patients with rectal cancer (5) .Furthermore, the laparoscopic approach results in a surgery that is, to a large extent, minimally invasive (14) . With the amplification effect of the laparoscope, the D3 lymphadenectomy achieves a thorough dissection of the involved lymph nodes and prevents distant metastasis and recurrence of the tumor.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety evaluation of laparoscopic D3 lymphadenectomy combined with pelvic autonomic nerve preservation for rectal cancer

Li¹,

Meng²,

Zhang³

2017

Clin Surg Res Commun

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Background:Laparoscopic D3 lymphadenectomy is widely used in rectal cancer treatment. This study aimed to investigate the efficacy and safety of the laparoscopic D3 lymphadenectomy combined with pelvic autonomic nerve preservation in treating rectal cancer. Results:All the operations were completed successfully in 211 patients. No significant differences were found between the two groups in the number of removed lymph nodes and postoperative complications. The carminative time and time to get out of bed were shorter in the laparoscope group than that in the open group. The hospital stay was also shorter in the laparoscope group than in the open group, while the surgical duration was shorter in the open group. No significant differences were observed between the two groups in recurrence rates, mortality rates, or postoperative urinary and sexual dysfunction.Conclusion:The laparoscopic D3 lymphadenectomy combined with pelvic autonomic nerve preservation is feasible and safe for rectal cancer treatment. The advantages include being minimally invasive and a quicker postoperative recovery, which improves the patient's quality of life.

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Transanal natural orifice specimen extraction for laparoscopic anterior resection in rectal cancer

Abstract: Transanal NOSE for total laparoscopic low/ultralow anterior resection is feasible, safe and oncologically sound. Further studies with long-term outcomes are needed to explore its potential advantages.

Cited by 30 publications

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Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns

Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns

Transanal Total Mesorectal Excision - A Case Report

Efficacy and safety evaluation of laparoscopic D3 lymphadenectomy combined with pelvic autonomic nerve preservation for rectal cancer

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