Laparoscopic and Robotic Rectal Cancer Resection: Expectations for Improving Oncological Outcomes

Nonepithelial, submucosal gastric tumors: is laparoscopic wedge resection the optimal treatment?

“…Although the high level of evidence supporting laparoscopic colectomy or laparoscopic rectal resection for adenocarcinoma has not been reached for laparoscopic gastrectomy [2][3][4], reports on the superiority of laparoscopic D2 gastrectomy for gastric cancer, particularly from Asian countries, are very promising [5][6][7][8][9].…”

Reducing anastomotic leakage in laparoscopic low anterior resection: is it achievable by a new method?

“…Risk factors related to anastomotic failure have been reported to be TME and multiple anastomotic stapling, which may decrease blood supply to the remaining rectum stump and increase the risk of colorectal anastomosis leakage [1]. To reduce the clinical consequences of this anastomosis failure a protective temporal ileostoma is used, but there is still debate on its clinical utility [12].Fujii and colleagues [3] looked at whether their technique, called the Y-Hood method, was safe and more effective in reducing anastomotic leak as compared with the double-stapling technique. The authors developed clamp forceps for intestinal lavage and a Y-shaped vinyl hood that can be operated under pneumoperitoneum for airproof surgery.…”

“…Risk factors related to anastomotic failure have been reported to be TME and multiple anastomotic stapling, which may decrease blood supply to the remaining rectum stump and increase the risk of colorectal anastomosis leakage [1]. To reduce the clinical consequences of this anastomosis failure a protective temporal ileostoma is used, but there is still debate on its clinical utility [12].…”

Laparoscopic sphincter-preserving rectal cancer surgery: a highly demanding procedure

“…Although six randomized controlled trials of LLAR have been published, they have several limitations [1]. The oncological principles of open surgery also should be kept in mind for sphincter-saving resection: Because of a better view of the pelvis via the laparoscopic technique, a more accurate and precise TME can be achieved laparoscopically (LTME) [1,2,5,6].…”