Laparoscopic total pelvic exenteration using transanal minimal invasive surgery technique with en bloc bilateral lymph node dissection for advanced rectal cancer

Hayashi, Kengo; Kotake, Masanori; Kakiuchi, Daiki; Yamada, Sho; Hada, Masahiro; Kato, Yosuke; Hiranuma, Chikashi; Oyama, Kaeko; Hara, Takuya

doi:10.1186/s40792-016-0198-6

Cited by 16 publications

(9 citation statements)

References 9 publications

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“…Hayashi et al [39] reported that laparoscopic pelvic exenteration using transanal minimal invasive surgery has certain advantages. They claimed that good visual field in the pelvis can be maintained even after entry into abdominal cavity as pneumoperirectum is sustained by the pneumoperitoneum.…”

Section: Ogura Et Almentioning

confidence: 99%

Minimal invasive approach for beyond total mesorectal excision/extended resections in rectal cancer

Kumar¹,

Kammar²,

Saklani³

2018

MIS

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Minimal invasive surgery (MIS) is an accepted modality of treatment for rectal cancer. The indications for MIS have gradually been extended to locally advanced and locally recurrent rectal cancer as a result of technological advances in instrumentation, advances in surgical techniques, increased surgeon experience, and high volume center. However, safety and feasibility of laparoscopic surgery and robotic surgery in beyond total mesorectal excision (b-TME) and extended TME (e-TME) are not well established. This review summarizes the current evidence for MIS approach for b-TME/extended resections in rectal cancer. A systematic search was carried out in PubMed. Studies available in English related to MIS approach in b-TME/e-TME in rectal cancers were identified and evaluated. This review concludes MIS is feasible with good perioperative outcomes in b-TME/e-TME in carefully selected patients. Laparoscopic surgery has considerable learning curve and should be performed by experienced surgical teams. Robotic surgery is feasible and beneficial in complex resection in pelvis. However, evidence for long-term oncological outcomes of MIS in b-TME/e-TME is low and needs to be studied further by randomized controlled trial once enough numbers are possible in institutes with high volume rate.

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Section: Ogura Et Almentioning

confidence: 99%

Minimal invasive approach for beyond total mesorectal excision/extended resections in rectal cancer

Kumar¹,

Kammar²,

Saklani³

2018

MIS

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“…The technical difficulties of PE are partially due to poor visualization in the deep and narrow pelvic cavity, and the improved visualization provided by laparoscopic surgery has important benefits in advanced surgical procedures such as PE 22 . Although some studies on laparoscopic PE have reported on the safety and feasibility in pelvic malignancies, it remains a technically challenging procedure with a long operative time 23,24 . Compared to open PE, laparoscopic surgery has less intraoperative blood loss, less postoperative pain, and a shorter hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Surgical outcomes of hybrid hand‐assisted laparoscopic pelvic exenteration for locally advanced rectal cancer: Initial experience

Tashiro

Fujii

Masaki

et al. 2020

Asian J Endoscop Surgery

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Introduction Hybrid hand‐assisted laparoscopic surgery (HALS) combines better visualization of laparoscopic surgery with the advantages of open surgery. The aim of this study was to describe important technical considerations of HALS and to assess the feasibility of hybrid HALS pelvic exenteration (PE) for primary advanced rectal cancer. Methods From May 2012 to August 2018, we retrospectively analyzed 11 patients who underwent PE for primary advanced rectal cancer (< 10 cm from the anal verge). Patients were divided into the open PE group (n = 5) and the hybrid HALS PE group (n = 6). Results There was no significant difference in patient characteristics between the two groups, and all included patients were male. Tumor invasion to adjacent organs was mostly anterior invasion. In addition, four patients (66%) in the hybrid HALS PE group and two (40%) in the open PE group received neoadjuvant therapy (P = .3). Conclusion Compared to open surgery, hybrid HALS has the advantages of less bleeding and less invasion, and can achieve the same results in the short‐term. It was a reasonable procedure which was easy and safe dissection of internal iliac vessels and dorsal vein complex. Thus, hybrid HALS may become a useful approach for PE.

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“…Aiba et al [35] and Zeng et al [36] demonstrated that transanal LPLN dissection is feasible, safe, and promising in well-selected patients. Hayashi et al [37] published that pelvic exenteration is also possible with the TAMIS platform.…”

Section: Tamis For Lateral Pelvic Node Dissection and Pelvic Exenteramentioning

confidence: 99%

Transanal minimally invasive surgery: how can it help us?

Sriram¹,

Tzu-Liang²

2020

MIS

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Transanal surgery has evolved significantly in the past few decades. With the technological advancements of endoscopic systems, minimally invasive approaches in transanal surgeries are quickly increasing in popularity. Transanal endoscopic microsurgery was developed initially with subsequent transanal minimally invasive surgery (TAMIS) being introduced as an alternative in 2009. Over the past decade, more and more papers have been published on TAMIS, regarding the management of benign/malignant rectal lesions as well as repair of anastomotic leaks, anastomotic strictures, rectovaginal/rectourethral fistula, etc. This review details the progress of transanal surgery and the use of TAMIS in different scenarios.

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Laparoscopic total pelvic exenteration using transanal minimal invasive surgery technique with en bloc bilateral lymph node dissection for advanced rectal cancer

Cited by 16 publications

References 9 publications

Minimal invasive approach for beyond total mesorectal excision/extended resections in rectal cancer

Minimal invasive approach for beyond total mesorectal excision/extended resections in rectal cancer

Surgical outcomes of hybrid hand‐assisted laparoscopic pelvic exenteration for locally advanced rectal cancer: Initial experience

Transanal minimally invasive surgery: how can it help us?

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