Laparoscope-assisted anal sphincter-preserving operation preceded by transanal procedure

Techniques in Coloproctology
F UchikoshiH Matsuda

Abstract

Transanal intersphincteric resection (ISR) was introduced and has been increasingly performed as an ultimate surgical treatment for extremely low rectal cancer. We considered that high quality and less invasive surgery could be achieved if ISR and laparoscopic surgery were combined. Between December 2003 and June 2004, we performed laparoscope-assisted ISR for two patients with very low rectal cancer and total colectomy for two patients with ulcerative colitis complicated by colorectal cancer. In all patients, the transanal procedure was preceded by trans-abdominal laparoscopic rectal excision. Preceding transanal dissection facilitated muscle layer-oriented curative dissection, and more importantly, made subsequent laparoscopic rectal excision effortless as a result of penetrating to the dissected pelvic cavity. All patients showed favorable recovery including postoperative anal function with no complication or recurrent disease. This procedure is feasible and has favorable short-term results for radical treatment of very low rectal disease, while preserving anal function.

Citations

Dec 7, 2010·Surgical Endoscopy·Madoka HamadaTadashi Horimi
May 5, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H S Tilney, P P Tekkis
Dec 1, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C LaurentE Rullier
Nov 21, 2007·Surgical Oncology·Elena OrsenigoCarlo Staudacher
Jan 31, 2015·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A MuratoreM De Simone
Apr 12, 2019·Combinatorial Chemistry & High Throughput Screening·Jian Dai, Zhou Yu
Jul 8, 2009·Diseases of the Colon and Rectum·Kazutaka YamadaMasahiro Takano

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