Transanal total mesorectal excision for rectal cancer: a preliminary report

Kang, Liang; Chen, Wen‐Hao; Luo, Shuangling; Luo, Yanxin; Liu, Zhihua; Huang, Meijin; Wang, Jianping

doi:10.1007/s00464-015-4521-2

Cited by 32 publications

(36 citation statements)

References 36 publications

(77 reference statements)

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“…Ileostomy was performed to eliminate the risk of any intestinal leak compromising healing of the urethra. This type of injury appears as an individual event in other observational series of transanal operations13 27, 28.…”

Section: Discussionmentioning

confidence: 87%

“…Most publications on NOTES have concentrated on short‐term outcomes11, 12, 13, 14. Among studies of colorectal cancer treated with hybrid NOTES, no local recurrence has been reported at 6 months6 24, 25 or 9 months11.…”

Section: Discussionmentioning

confidence: 99%

“…Since the first transgastric liver biopsy by Kalloo and colleagues1, there has been continued interest in natural orifice transluminal endoscopic surgery (NOTES)2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14. For colorectal cancer, most operations have been hybrid procedures4, 5, 6, 7, 8, 9, 10 with few reports11, 12, 13, 14 confined to NOTES alone.…”

Section: Introductionmentioning

confidence: 99%

“…For colorectal cancer, most operations have been hybrid procedures4, 5, 6, 7, 8, 9, 10 with few reports11, 12, 13, 14 confined to NOTES alone. In colorectal cancer surgery, potential benefits of NOTES might include less pain, avoidance of incisional infection, shorter hospital stay, better cosmesis and high‐quality oncological resection by transanal total mesorectal excision (TME)4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14.…”

Section: Introductionmentioning

confidence: 99%

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Natural orifice transluminal endoscopic surgery for colorectal cancer

Thien

Thanh

et al. 2017

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BackgroundNatural orifice transluminal endoscopic surgery (NOTES) has theoretical advantages over other approaches.MethodsThis was a prospective cohort study of colorectal cancers operated on by NOTES (transanally for rectal tumours, transvaginally for sigmoid tumours) between December 2013 and December 2015, with a minimum follow‐up of 1 year. Eligibility criteria included ASA fitness grade I–III, BMI below 25 kg/m2 and TNM stage T3 N0 M0. Exclusion criteria included pregnancy or distant metastasis. The anastomosis was either handsewn or performed mechanically.ResultsSixteen patients were operated on by a transanal and four by a transvaginal approach. There were ten men and ten women, with a mean(s.d.) age of 55·6(12·1) years. Mean BMI was 22·4(2·6) kg/m2. Four anterior, 11 low anterior and five intersphincteric resections were performed for 16 rectal and four low sigmoid tumours. The mean duration of surgery was 258(11) min. No conversion to laparotomy was needed, and there were no deaths. Five patients required additional ports, for intraoperative bleeding (1), suture of an intraoperative urethral injury with covering ileostomy (1) and difficulty in dissection (3). One patient had an anastomotic leak requiring transanal closure and ileostomy on day 7. Both ileostomies were closed after 2 months. The mean hospital stay was 6·4(1·8) days. All resections were R0.ConclusionIn carefully selected patients NOTES for colorectal cancer resection was feasible and effective.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Natural orifice transluminal endoscopic surgery for colorectal cancer

Thien

Thanh

et al. 2017

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“…The complex anatomical topography, encountered in male patients in particular, poses considerable risks during the "bottom-up" approach, including urethral injuries [2]. The cumulative morbidity rate is reportedly 6.3% in male patients [3][4][5][6][7]. In the international TaTME registry, the rate of urethral injuries in males was 1% (5/489) [8].…”

Section: Introductionmentioning

confidence: 99%