scholarly journals A Single Centre Retrospective Evaluation of Laparoscopic Rectal Resection with TME for Rectal Cancer: 5-Year Cancer-Specific Survival

2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Raoul Quarati ◽  
Massimo Summa ◽  
Fabio Priora ◽  
Valeria Maglione ◽  
Ferruccio Ravazzoni ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Survival Rate ◽  
Minimally Invasive ◽  
Rectal Resection ◽  
Minimally Invasive Approach ◽  
Single Centre ◽  
Term Survival ◽  
Invasive Approach ◽  
Anterior Rectal Resection

Laparoscopic colon resection has established its role as a minimally invasive approach to colorectal diseases. Better long-term survival rate is suggested to be achievable with this approach in colon cancer patients, whereas some doubts were raised about its safety in rectal cancer. Here we report on our single centre experience of rectal laparoscopic resections for cancer focusing on short- and long-term oncological outcomes. In the last 13 years, 248 patients underwent minimally invasive approach for rectal cancer at our centre. We focused on 99 stage I, II, and III patients with a minimum follow-up period of 5 years. Of them 43 had a middle and 56 lower rectal tumor. Laparoscopic anterior rectal resection was performed in 71 patients whereas laparoscopic abdomino-perineal resection in 28. The overall mortality rate was 1%; the overall morbidity rate was 29%. The 5-year disease-free survival rate was 69.7%, The 5-year overall survival rate was 78.8%.

scholarly journals Para-Aortic Lymphadenectomy by Minimally Invasive Surgery

2019 ◽  
pp. 238-248
Author(s):  
Puerta Sanabria JM ◽  
Rios Lorenzo M ◽  
Gilabert-Estelles J
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Single Port ◽  
Scientific Evidence ◽  
Minimally Invasive Approach ◽  
Term Survival ◽  
Invasive Approach ◽  
Laparoscopic Techniques ◽  
Subject Making

Laparoscopic para-aortic lymphadenectomy (PAL) was described first in the literature in 1992. The advantages of the minimally invasive approach compared to the laparotomy are well known, with comparable surgery and long term survival results. The aim of this review is to expose the scientific evidence available on this subject, making a comparative study of the different laparoscopic techniques available to carry out the PAL, as well as other minimally invasive approaches, such as single port or robotic surgery.

scholarly journals Oxford phase 3 unicondylar knee arthroplasty through a minimally invasive approach: long-term results

2013 ◽  
Vol 37 (5) ◽  
pp. 833-838 ◽  
Author(s):  
Omar Faour-Martín ◽  
Jose Antonio Valverde-García ◽  
Miguel Ángel Martín-Ferrero ◽  
Aurelio Vega-Castrillo ◽  
María Angeles de la Red Gallego ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Knee Arthroplasty ◽  
Unicondylar Knee Arthroplasty ◽  
Long Term Results ◽  
Minimally Invasive Approach ◽  
Phase 3 ◽  
Invasive Approach

Long-Term Outcomes With a Minimally Invasive Approach for Resection of Cardiac Masses

2010 ◽  
Vol 90 (4) ◽  
pp. 1251-1255 ◽  
Author(s):  
Alexander Iribarne ◽  
Rachel Easterwood ◽  
Mark J. Russo ◽  
Jonathan Yang ◽  
Faisal H. Cheema ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Long Term Outcomes ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Cardiac Masses

Surface Electromyography Reliably Records Electrophysiologically Evoked Internal Anal Sphincter Activity: A More Minimally Invasive Approach for Monitoring Extrinsic Innervation

2016 ◽  
Vol 57 (1-2) ◽  
pp. 81-88 ◽  
Author(s):  
Daniel W. Kauff ◽  
Nicolas Wachter ◽  
Axel Heimann ◽  
Thilo B. Krüger ◽  
Klaus-Peter Hoffmann ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Anal Sphincter ◽  
Internal Anal Sphincter ◽  
Autonomic Nerve ◽  
Pelvic Surgery ◽  
Transanal Total Mesorectal Excision ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Anterior Rectal Resection ◽  
Extrinsic Innervation

Background: Even in the case of minimally invasive pelvic surgery, sparing of the autonomic nerve supply is a prerequisite for maintaining anal sphincter function. Internal anal sphincter (IAS) innervation could be electrophysiologically identified based on processed electromyographic (EMG) recordings with conventional bipolar needle electrodes (NE). This experimental study aimed for the development of a minimally invasive approach via intra-anal surface EMG for recordings of evoked IAS activity. Methods: Six male pigs underwent nerve-sparing low anterior rectal resection. Electric autonomic nerve stimulations were performed under online-processed EMG of the IAS. EMG recordings were simultaneously carried out with conventional bipolar NE as the reference method and newly developed intra-anal surface electrodes (SE) in different designs. Results: In all experiments, the IAS activity could be continuously visualized via EMG recordings based on NE and SE. The median number of bipolar electric stimulations per animal was 27 (range 5-52). The neurostimulations resulted in significant EMG amplitude increases for both recording types [NE: median 3.0 µV (interquartile range, IQR 2.8-3.5) before stimulation vs. 7.1 µV (IQR 3.9-13.8) during stimulation, p < 0.001; SE: median 3.6 µV (IQR 3.1-4.3) before stimulation vs. 6.8 µV (IQR 4.8-10.3) during stimulation, p < 0.001]. Conclusions: Intra-anal SE enabled reliable EMG of electrophysiologically evoked IAS activity similar to the conventional recording via NE. The transfer of the method to access platforms for transanal total mesorectal excision or robotics may offer a practical more minimally invasive approach for monitoring extrinsic innervation.

scholarly journals Survival outcomes following laparoscopic vs open surgery for non-metastatic rectal cancer: a two-center cohort study with propensity score matching

2020 ◽  
Vol 8 (4) ◽  
pp. 319-325
Author(s):  
Kang-Lian Tan ◽  
Hai-Jun Deng ◽  
Zhi-Qiang Chen ◽  
Ting-Yu Mou ◽  
Hao Liu ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Survival Rate ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Open Surgery ◽  
Laparoscopic Group ◽  
Term Survival ◽  
Free Survival

Abstract Background:?&gt; Laparoscopic surgery for rectal cancer is commonly performed in China. However, compared with open surgery, the effectiveness of laparoscopic surgery, especially the long-term survival, has not been sufficiently proved. Methods:?&gt; Data of eligible patients with non-metastatic rectal cancer at Nanfang Hospital of Southern Medical University and Guangdong Provincial Hospital of Chinese Medicine between 2012 and 2014 were retrospectively reviewed. Long-term survival outcomes and short-term surgical safety were analysed with propensity score matching between groups. Results Of 430 cases collated from two institutes, 103 matched pairs were analysed after propensity score matching. The estimated blood loss during laparoscopic surgery was significantly less than that during open surgery (P = 0.019) and the operative time and hospital stay were shorter in the laparoscopic group (both P &lt; 0.001). The post-operative complications rate was 9.7% in the laparoscopic group and 10.7% in the open group (P = 0.818). No significant difference was observed between the laparoscopic group and the open group in the 5-year overall survival rate (75.7% vs 80.6%, P = 0.346), 5-year relapse-free survival rate (74.8% vs 76.7%, P = 0.527), or 5-year cancer-specific survival rate (79.6% vs 87.4%, P = 0.219). An elevated carcinoembryonic antigen, &lt;12 harvested lymph nodes, and perineural invasion were independent prognostic factors affecting overall survival and relapse-free survival. Conclusions:?&gt; Our findings suggest that open surgery should still be the priority recommendation, but laparoscopic surgery is also an acceptable treatment for non-metastatic rectal cancer.

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