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Laparoscopy-assisted transanal total mesorectal excision for lower rectal cancer:A feasible and innovative technique

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World Journal of Gastrointestinal Oncology 2021年第1期13卷 12-23页

作者： Ying-Jie Li Lin Wang Ting-Ting Sun Ai-Wen Wu Gastrointestinal cancer Center Unit III Beijing Cancer Hospital and Beijing Institute for Cancer ResearchBeijing 100142China Department of Gastrointestinal Surgery Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education)Beijing Cancer Hospital and Beijing Institute for Cancer ResearchBeijing 100142China

BACKGROUND Transanal total mesorectal excision(taTME)is a new technique with many potential technical ***-assisted taTME is a combination of transabdominal taTME and transluminal endoscopic surgery ***-assisted taTME is a combination of techniques such as minimally invasive surgery,intersphincter-assisted resection,natural orifice extraction,ta minimally invasive surgery,and ultralow-level preservation of the *** To verify the feasibility and safety of an innovative technique of taTME for treatment of cancer located in the lower *** From January 2016 to March 2018,we attempted to perform laparoscopy-assisted taTME surgery in 24 patients with lower rectal *** The new technique of laparoscopy-assisted taTME was successfully performed in all 24 *** operating time was 310.0 min and mean intraoperative blood loss was 69.1 *** mean time to passing of first flatus was 3.1 d,and mean postoperative hospital stay was 9.2 *** patients were given postoperative analgesics due to anal ***-three patients were able to walk in first 2 d,and five patients had postoperative *** Laparoscopy-assisted taTME is suitable for selected patients with lower rectal cancer,and this technique is worthy of further recommendation.

关键词： Laparoscopy-assisted Total mesorectal excision Technique lower rectal cancer Trans-abdominal Trans-anus

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Robotic natural orifice specimen extraction surgery I-type F method vs conventional robotic resection for lower rectal cancer

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World Journal of Gastrointestinal Surgery 2023年第10期15卷 2142-2153页

作者： Fang Tao Dong-Ning Liu Peng-Hui He Xin Luo Chi-Ying Xu Tai-Yuan Li Jin-Yuan Duan Department of Gastrointestinal Surgery The First Affiliated Hospital of Nanchang UniversityNanchang 330052Jiangxi ProvinceChina Department of General Surgery The First Affiliated Hospital of Nanchang UniversityNanchang 330052Jiangxi ProvinceChina

BACKGROUND Robotic resection using the natural orifice specimen extraction surgery I-type F method(R-NOSES I-F)is a novel minimally invasive surgical strategy for the treatment of lower rectal ***,the current literature on this method is limited to case reports,and further investigation into its safety and feasibility is *** To evaluate the safety and feasibility of R-NOSES I-F for the treatment of low rectal *** From September 2018 to February 2022,206 patients diagnosed with low rectal cancer at First Affiliated Hospital of Nanchang University were included in this retrospective *** these patients,22 underwent R-NOSES I-F surgery(RNOSES I-F group)and 76 underwent conventional robotic-assisted low rectal cancer resection(RLRC group).Clinicopathological data of all patients were collected and *** outcomes and prognoses were compared between the two *** analysis was performed using SPSS *** Patients in the R-NOSES I-F group had a significantly lower visual analog score for pain on postoperative day 1(1.7±0.7 vs 2.2±0.6,P=0.003)and shorter postoperative anal venting time(2.7±0.6 vs 3.5±0.7,P0.05).Postoperative anal and urinary functions,as assessed by Wexner,low anterior resection syndrome,and International Prostate Symptom Scale scores,were similar in both groups(P>0.05).Long-term follow-up revealed no significant differences in the rates of local recurrence and distant metastasis between the two groups(P>0.05).CONCLUSION R-NOSES I-F is a safe and effective minimally invasive procedure for the treatment of lower rectal *** improves pain relief,promotes gastrointestinal function recovery,and helps avoid incision-related complication

关键词： Robotic surgery Natural orifice specimen extraction surgery lower rectal cancer Robotic resection using the natural orifice specimen extraction surgery I-type F method

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