scholarly journals Anal function-preserving subtotal intersphincteric resection/partial external sphincteric resection with hybrid 2-port hand-assisted laparoscopic surgery (Mukai's operation) for very low stage I rectal cancer: A case report

2011 ◽  
Author(s):  
Masaya Mukai
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Laparoscopic Surgery ◽  
Intersphincteric Resection ◽  
Stage I ◽  
Anal Function

scholarly journals Neorectal mucosal prolapse after intersphincteric resection for low lying rectal cancer: a case report

2021 ◽  
Author(s):  
Mohammed Alessa ◽  
Hyeon Woo Bae ◽  
Homoud Alawfi ◽  
Ahmad Sakr ◽  
Forzan Sauri ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Intersphincteric Resection ◽  
Mucosal Prolapse

scholarly journals Comparison between robotic-assisted and laparoscopic sphincter-preserving operations for ultra-low rectal cancer: a single institutional retrospective study

2021 ◽  
Author(s):  
Tadahiro Kojima ◽  
Hitoshi Hino ◽  
Akio Shiomi ◽  
Hiroyasu Kagawa ◽  
Yusuke Yamaoka ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Multivariate Analyses ◽  
Anal Verge ◽  
Intersphincteric Resection ◽  
Low Rectal Cancer ◽  
Robotic Assisted ◽  
Robotic Assisted Surgery

Abstract Background Sphincter-preserving operations for ultra-low rectal cancer include low anterior resection and intersphincteric resection. In low anterior resection, the distal rectum is divided by a transabdominal approach, which is technically demanding. In intersphincteric resection, a perineal approach is performed. We aimed to evaluate whether robotic-assisted surgery is technically superior to laparoscopic surgery for ultra-low rectal cancer. The frequency of conducting low anterior resection by a specific procedure can indicate the technical superiority of that procedure for ultra-low rectal cancer. Thus, we compared the frequency of low anterior resection between robotic-assisted and laparoscopic surgery in cases of sphincter-preserving operations. Methods We investigated 183 patients who underwent sphincter-preserving robotic-assisted or laparoscopic surgery for ultra-low rectal cancer (lower border within 5 cm of the anal verge) between April 2010 and March 2020. The frequency of low anterior resection was compared between laparoscopic and robotic-assisted surgeries. The clinicopathological factors associated with an increase in performing low anterior resection were analyzed by multivariate analyses. Results Overall, 41 (22.4%) and 142 (77.6%) patients underwent laparoscopic and robotic-assisted surgery, respectively. Patient characteristics were similar between the groups. Low anterior resection was performed significantly more frequently in robotic-assisted surgery (67.6%) than in laparoscopic surgery (48.8%) (p = 0.04). Multivariate analyses showed that tumor distance from the anal verge (p < 0.01) and robotic-assisted surgery (p = 0.02) were significantly associated with an increase in the performance of low anterior resection. The rate of postoperative complications or pathological results was similar between the groups. Conclusions Compared with laparoscopic surgery, robotic-assisted surgery significantly increased the frequency of low anterior resection in sphincter-preserving operations for ultra-low rectal cancer. Robotic-assisted surgery has technical superiority over laparoscopic surgery for ultra-low rectal cancer treatment.

scholarly journals Well-leg compartment syndrome after laparoscopic surgery for rectal cancer: A case report

2021 ◽  
Vol 86 ◽  
pp. 106331
Author(s):  
Tomoyuki Sugi ◽  
Yohei Owada ◽  
Tsuyoshi Enomoto ◽  
Yusuke Ohara ◽  
Yoshimasa Akashi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Laparoscopic Surgery ◽  
Compartment Syndrome

scholarly journals Analysis of Clinical Factors Associated with Anal Function after Intersphincteric Resection for Very Low Rectal Cancer

2009 ◽  
Vol 52 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Masaaki Ito ◽  
Norio Saito ◽  
Masanori Sugito ◽  
Akihiro Kobayashi ◽  
Yusuke Nishizawa ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Intersphincteric Resection ◽  
Low Rectal Cancer ◽  
Clinical Factors ◽  
Anal Function ◽  
Factors Associated ◽  
Very Low Rectal Cancer

scholarly journals Clinical efficacy of intersphincteric resection for low rectal cancer compared with abdominoperineal resection: a single-center retrospective study

2020 ◽  
Author(s):  
Baifu Peng ◽  
Zixin Wu ◽  
Zijian He ◽  
Guanwei Li ◽  
Jie Cao ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Abdominoperineal Resection ◽  
Clinical Efficacy ◽  
Intersphincteric Resection ◽  
Low Rectal Cancer ◽  
Anal Function ◽  
Soft Diet ◽  
Lars Score ◽  
Feasible Alternative ◽  
Hospital Stays

Abstract Purpose In recent years, intersphincteric resection (ISR) has been increasingly used to replace abdominoperineal resection (APR) for low rectal cancer. This study was to compare the clinical efficacy of ISR and APR. Methods Between 2012 and 2018, 74 consecutive patients with low rectal cancer underwent ISR and APR in our medical centre. The outcomes were retrospectively studied and compared. Results A total of 43 patients underwent ISR and 31 underwent APR were included in the study. No significant differences were found between two groups in gender, age, BMI and ASA score. ISR group showed shorter operative time (P = 0.02) and less blood loss (P = 0.001). Hospital stays, time to soft diet, and postoperative thirty-day complications were not significantly different between the two groups. As for the long-term outcomes, the survival and recurrence rate were similar between two groups. Moreover, LARS score and Wexner score showed the anal function after ISR was generally satisfactory. Conclusion This study suggested that ISR may provide a feasible alternative to APR, with superior short-term outcomes, similar oncological outcomes and satisfactory postoperative anal function.

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