Laparoscopic approach in surgical treatment of rectal cancer

Laurent, Alexis; Leblanc, F.; Gineste, C.; Saric, Jean; Rullier, Éric

doi:10.1002/bjs.5884

Cited by 109 publications

(73 citation statements)

References 25 publications

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“…The distal margin positivity rates were also not different between laparoscopic and open rectal surgery (Anderson et al, 2008). However, it should be noted that a clear distal margin can be of an issue in laparoscopic resections of the lower third of the rectum, especially in male patients (Laurent et al, 2007).…”

Section: Evidence From Meta-analysis and Cochrane Reviewsmentioning

confidence: 81%

Laparoscopic Surgery for Rectal Cancer: Approaches, Challenges and Outcome

Aly¹

2012

Contemporary Issues in Colorectal Surgical Practice

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Section: Evidence From Meta-analysis and Cochrane Reviewsmentioning

confidence: 81%

Laparoscopic Surgery for Rectal Cancer: Approaches, Challenges and Outcome

Aly¹

2012

Contemporary Issues in Colorectal Surgical Practice

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“…Since anastomotic leakage is a highly morbid complication in some patients, a protecting stoma is still recommended in low anterior resection regardless of the surgical procedure used, according to some studies 9,45) . Anastomotic leakage has a negative prognostic impact for local recurrence after restorative resection of rectal carcinoma.…”

Section: Laparoscopic Surgery For Rectal Cancermentioning

confidence: 99%

An evidence-based medicine approach to the laparoscopic treatment of colorectal cancer

Otani

Isohata

Kumamoto

et al. 2016

FJMS

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During the 1990s, laparoscopic resection was established as a treatment for gastrointestinal malignant tumors. A number of randomized controlled trials comparing laparoscopic -assisted colorectal surgery with conventional open colorectal surgery for colon cancer have been conducted. These trials have shown short -term benefits, and the vast majority demonstrated no significant difference in long -term outcomes. Laparoscopic -assisted colorectal surgery is widely performed for the treatment of colon cancer, whereas laparoscopic -assisted colorectal surgery for rectal cancer is less commonly performed. In recent years, there have been an increasing number of reports of laparoscopic -assisted colorectal surgery for rectal cancer, where improving short -term outcomes was shown, but no definitive effect on long -term survival has been shown to date. Randomized controlled trials focusing on long -term survival are currently ongoing.

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“…It is important is to preserve the parasympathetic sacral nerve roots from S2 to S4. Dissection proceeds down to the pelvic floor [75][76][77][78][79][80][81][82][83][84][85][86][87][88].…”

Section: (100% [Strong Consensus]; Gor C: 100% [Strong Consensus])mentioning

confidence: 99%

“…The rectum is transected at the level of the pelvic floor by means of a roticulating endostapler device [75][76][77][78][79][80][81][82][83][84][85][86][87][88], using as few cartridges as possible. Use of more than two cartridges has been reported to result in a higher anastomotic leakage rate [89,90].…”

Section: (100% [Strong Consensus]; Gorb: 100% [Strong Consensus])mentioning

confidence: 99%

“…After visualization of the left ureter, the IMA is dissected free and is divided between clips, endostapler or sealing device at high or low tie level. Low tie level will permit preservation of the left colonic artery and better protection of the hypogastric plexus on the aorta [71,[75][76][77][78][79][80][81][82][83][84][85][86][87][88].…”

Section: 7% [Consensus]; Gor A: 857% [Consensus])mentioning

confidence: 99%

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Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2011

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Background The laparoscopic approach is increasingly applied in colorectal surgery. Although laparoscopic surgery in colon cancer has been proved to be safe and feasible with equivalent long-term oncological outcome compared to open surgery, safety and long-term oncological outcome of laparoscopic surgery for rectal cancer remain controversial. Laparoscopic rectal cancer surgery might be efficacious, but indications and limitations are not clearly defined. Therefore, the European Association for Endoscopic Surgery (EAES) has developed this clinical practice guideline. Methods An international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. The expert panel constituted for a consensus development conference in May 2010. Thereafter, the recommendations were presented at the annual congress of the EAES in Geneva in June 2010 in a plenary session. A second consensus process (Delphi process) of the recommendations with the explanatory text was necessary due to the changes after the consensus conference. Results Laparoscopic surgery for extraperitoneal (midand low-) rectal cancer is feasible and widely accepted. The laparoscopic approach must offer the same quality of surgical specimen as in open surgery. Short-term outcomes such as bowel function, surgical-site infections, pain and hospital stay are slightly improved with the laparoscopic approach. Laparoscopic resection of rectal cancer is not

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Laparoscopic approach in surgical treatment of rectal cancer

Abstract: Laparoscopic TME is a good option for women and for men treated by coloanal anastomosis. Technical improvement of laparoscopic stapling is needed before the laparoscopic approach can be offered to all patients.

Cited by 109 publications

References 25 publications

Laparoscopic Surgery for Rectal Cancer: Approaches, Challenges and Outcome

Laparoscopic Surgery for Rectal Cancer: Approaches, Challenges and Outcome

An evidence-based medicine approach to the laparoscopic treatment of colorectal cancer

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

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