Standardization of Laparoscopic Total Mesorectal Excision for Rectal Cancer

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Total mesorectal excision for rectal cancer: laparoscopic versus open approach.

AIMS AND BACKGROUND To evaluate the oncologic safety of laparoscopic total mesorectal excision for rectal cancer. Methods and study design. Patients who underwent laparoscopic (n = 256) or open (n = 173) total mesorectal excision for rectal cancer between June 2005 and June 2011 were included. Long-term survival operative data and postoperative recovery were retrospectively reviewed from a pros...

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Laparoscopic Total Mesorectal Excision

Results The distal limit of rectal neoplasm was on average 6.1 (range 3–12) cm from the anal verge. The mean operative time was 250 (range 110–540) minutes. The conversion rate was 12%. Excluding the patient who stayed 104 days after a severe fistula and reoperation, the mean postoperative stay was 12.05 (range 5–53) days. The 30-day mortality was 2% and the overall postoperative morbidity was ...

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Quality of life after total mesorectal excision for rectal cancer.

BACKGROUND After total mesorectal excision for rectal cancer, many surgeons try to avoid an abdominoperineal resection (APR) by performing a transanally double stapled low colo-rectal anastomosis (LRA), frequently without a pouch. This policy is mainly based on the assumption that the quality of life after such LRA is higher than after APR. It has been suggested that a better functional outcome...

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Total mesorectal excision for the treatment of rectal cancer

Robotic techniques have been developed to facilitate endoscopic surgery and to overcome its disadvantages. Thus, we performed robotic total mesorectal excison (TME) in a patient with rectal cancer, using the da Vinci(®) Surgical System. To our knowledge, this is the first robotic low anterior resection, based on standard TME principles, with pelvic autonomic nerve preservation. In conclusion, t...

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[Laparoscopy assisted total mesorectal excision for rectal cancer].

OBJECTIVE To evaluate the feasibility of laparoscopy assisted total mesorectal excision (TME) for rectal cancer. METHOD From March 2000 to November 2003,67 patients with rectal cancer received laparoscopy assisted TME,in whom 45 cases received anterior resection (AR),and 22 cases received abdominal perineal resection (APR). RESULTS The operation was performed according to the rules of TME. ...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 2015

ISSN: 0003-4932

DOI: 10.1097/sla.0000000000000823