98%
921
2 minutes
20
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1097/DCR.0000000000003287 | DOI Listing |
Tech Coloproctol
August 2025
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Background: Neoadjuvant chemoradiotherapy (nCRT) is key for low rectal cancer but raises the risk of anastomotic leakage (AL). This study examines how fluorescence laparoscopic (FL) surgery reduces AL after intersphincteric resection (ISR), especially in nCRT patients.
Methods: This real-world multicenter cohort study included 533 patients undergoing laparoscopic ISR for ultra-low rectal adenocarcinoma from January 2012 to July 2023.
Dis Colon Rectum
July 2025
Department of Surgery, Division of Colorectal Surgery, Townsville University Hospital, Townsville, QLD Australia.
Background: "Days at home up to 30 days" is a novel patient-centered outcome metric that measures the number of days patients spend at home 30 days after surgery. It encompasses inpatient stay from index admission, interhospital transfers and step-downs, and readmissions across different hospitals.
Objective: Comparison of days at home up to 30 days and established outcome metrics after robotic versus 3-dimensional laparoscopic surgery.
Colorectal Dis
May 2025
Department of Colorectal Surgery, National Cancer Center Hospital East, Chiba, Japan.
Aim: Abdominoperineal resection with permanent colostomy has historically been performed for very low rectal cancer located near the anal canal. Anus-preserving surgeries, such as intersphincteric resection (ISR) and low anterior resection (LAR), have recently become more common. However, postoperative anal function is a concern in these surgeries when the anastomosis is very low.
View Article and Find Full Text PDFJ Invest Surg
December 2025
Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Objective: To develop a porcine model for laparoscopic intersphincteric resection (ISR) targeting ultra-low rectal cancer.
Methods: Six Bama mini-pigs underwent a standard laparoscopic ISR procedure: (1) Ligation and transection of the inferior mesenteric vessels; (2) Exposure and sparing of the pelvic autonomic nerves; (3) Dissection of the rectum; (4) Dissection and transection of hiatal ligament and rectourethralis muscle; (5) Transanal dissection of the anal canal; (6) Dissection of the intersphincteric space (ISS); (7) End-to-end handsewn coloanal anastomosis (CAA). Pathological evaluations were conducted to ascertain the precision of the ISR.
BMC Surg
May 2025
Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Background: Laparoscopic surgery for rectal cancer remains challenging because of limited joint motion during dissection in the deep and narrow pelvis. Handheld multiarticulated instruments have been developed to address these limitations. This study aimed to assess the safety and efficacy of a flexible articulated instrument, the ArtiSential (Livsmed Co, Korea), at reducing the duration of laparoscopic rectal cancer surgery.
View Article and Find Full Text PDF