Laparoscopic low anterior resection performed using ArtiSential ® in an obese male patient with a narrow pelvis – A Video Vignette

2020 ◽  
Author(s):  
Ibrahim Darwich ◽  
Michael Scheidt ◽  
Yevhen Koliesnikov ◽  
Frank Willeke
Keyword(s):  
Male Patient ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Laparoscopic Low Anterior Resection ◽  
Narrow Pelvis ◽  
Obese Male ◽  
Video Vignette

scholarly journals Inter-ischial spine distance is a simple index of narrow pelvis that may predict difficulty during laparoscopic low anterior resection: a retrospective study

2021 ◽  
Author(s):  
Nobuki Ichikawa ◽  
Shigenori Homma ◽  
Tadashi Yoshida ◽  
Ken Imaizumi ◽  
Yoichi Miyaoka ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Rectal Cancer ◽  
Blood Loss ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Operative Time ◽  
Ischial Spine ◽  
Laparoscopic Low Anterior Resection ◽  
The Mean ◽  
Narrow Pelvis

Abstract Background A narrow pelvis makes laparoscopic rectal resection difficult. This study aimed to evaluate whether a simple measurement on computed tomography can predict procedural difficulty. Methods A total of 62 patients with low rectal cancer underwent conventional laparoscopic low anterior resection. The inter-ischial spine (IS) distance (i.e., distance between the ischial spines) was measured on an axial computed tomography slice. Operative time, blood loss, and time from insertion of linear staplers to completion of clamping on the distal end of the rectum (clamp time) were compared. Results Overall, 42 men and 20 women with low rectal cancer were assessed. The mean tumor size was 34.5 mm. Total or tumor-specific mesorectal excisions were performed in all cases; high ligation and resection of the inferior mesenteric arteries were carried out in 92% of patients. The mean operative time, and blood loss were 206 min, and 15 mL respectively. Four patients (6.5%) experienced postoperative complications, including two anastomotic leaks (3.2%). The mean IS distance was 93.3 mm. With simple linear regression, shorter IS distance correlated with longer operative time (R2 = 0.08, P = 0.030) and clamp time (R2 = 0.07, P = 0.046). Using an receiver operating characteristic curve, a narrow pelvis was defined as IS distance < 94.7 mm. Multivariate regression analysis revealed that IS distance < 94.7 mm (odds ratio, 3.51; P = 0.04) was independently associated with a longer clamp time. Conclusions The IS distance is a simple and useful measurement for predicting the difficulty of laparoscopic low anterior resection.

Laparoscopic low anterior resection for rectal bleeding in Klippel‐Trénaunay syndrome – a video vignette

2019 ◽  
Vol 22 (3) ◽  
pp. 350-351
Author(s):  
F. H. Veerankutty ◽  
P. Subrahmanya ◽  
S. Chacko ◽  
V. I. Sreekumar ◽  
N. P. Kamalesh ◽  
...  
Keyword(s):  
Rectal Bleeding ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Laparoscopic Low Anterior Resection ◽  
Klippel Trenaunay Syndrome ◽  
Video Vignette

Evaluation of the Quality, Educational Value and Utility of the Videos on YouTube for Laparoscopic Low Anterior Resection

2021 ◽  
pp. 000313482110111
Author(s):  
Erol Piskin ◽  
Muhammet Kadri Çolakoğlu ◽  
Ali Bal ◽  
Volkan Oter ◽  
Erdal Birol Bostanci
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Video Quality ◽  
Relevant Information ◽  
Teaching Quality ◽  
Educational Value ◽  
Laparoscopic Low Anterior Resection ◽  
Significant Difference ◽  
October 17

Background Minimally invasive surgery is a rising trend in colorectal surgery and is on its way to becoming the gold standard due to the benefits it provides for patients. This study aims to test the efficacy for educational purposes by evaluating the videos published on YouTube ( www.youtube.com ) channel for low anterior resection procedure in rectum surgery. Methods We searched YouTube on October 17, 2020 to choose video clips that included relevant information about laparoscopic low anterior resection (LAR) for rectal cancer. Results We included 25 academics and 75 individual videos in this study. The teaching quality of the videos was evaluated according to academic and individual videos, and it was seen that the teaching quality scores of academic videos were higher and this result was statistically significant ( P = .03). The modified Laparoscopic Surgery Video Educational Guidelines (LAP-VEGaS) criteria were found that the score was higher in individual videos ( P = .014). The median Video Power Index (VPI) value was 1.50 (range .05-347) and the mean ratio was 7.01 ± 3.52. There was no statistically significant difference between the 2 groups ( P = .443). Discussion Video-based surgical learning is an effective method for surgical education. Our study showed that the video quality and educational content of most of the videos about the low anterior resection procedure on YouTube were low. The videos of academic origin seem more valuable than individual videos. As far as video popularity is concerned, YouTube viewers are not selective. For this reason, training videos to be used for educational purposes must be passed through a standardized evaluation filter.

scholarly journals Laparoscopic low anterior resection for rectal cancer with rectal prolapse: a case report

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Ryusei Yamamoto ◽  
Yasuji Mokuno ◽  
Hideo Matsubara ◽  
Hirokazu Kaneko ◽  
Shinsuke Iyomasa
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Rectal Prolapse ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Laparoscopic Low Anterior Resection

Histopathologic Analysis of Intestinal Endometriosis after Laparoscopic Low Anterior Resection

2011 ◽  
Vol 18 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Makoto Jinushi ◽  
Atsushi Arakawa ◽  
Toshiharu Matsumoto ◽  
Jun Kumakiri ◽  
Mari Kitade ◽  
...  
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Intestinal Endometriosis ◽  
Laparoscopic Low Anterior Resection ◽  
Histopathologic Analysis
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