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01-06-2013 | Case Report

Laparoscopic Radical Resection of Low Rectal Carcinoma Integrating Transanal Endoscopic Microsurgery: A Case Report

Authors: Ju-peng Yang, Wei-Hua Tong, Quan Wang, Jian Suo, Dong-Hui Sun

Published in: Indian Journal of Surgery | Special Issue 1/2013

Abstract

A male patient with lower-segment rectal carcinoma underwent laparoscopic radical resection and regional lymph node dissection. The extracorporeal rectoanal anastomosis was completed using transanal endoscopic microsurgery (TEMS) without requiring any additional abdominal incision. The pathological examination identified a clean margin. At the postoperative 6-month visit, the patient exhibited generally normal defecation, urination, and sexual function, but no sign of local recurrence or distant metastasis. TEMS integrating laparoscopy is a surgically and oncologically feasible, effective, and safe procedure for lower anterior resection.

Jayne DG, Guillou PJ, Thorpe H, Quirke P, Copeland J, Smith AM, Heath RM, Brown JM, UK MRC CLASICC Trial Group (2007) Randomized trial of laparoscopic assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol 25:3061–3068PubMedCrossRef

Aziz O, Constantinides V, Tekkis PP, Athanasiou T, Purkayastha S, Paraskeva P, Darzi AW, Heriot AG (2006) Laparoscopic versus open surgery for rectal cancer: a meta-analysis. Ann Surg Oncol 13:413–424PubMedCrossRef

Pechlivanides G, Gouvas N, Tsiaoussis J, Tzortzinis A, Tzardi M, Moutafidis M, Dervenis C, Xynos E (2007) Lymph node clearance after total mesorectal excision for rectal cancer: laparoscopic versus open approach. Dig Dis 25:94–99PubMedCrossRef

Buess G, Theiss R, Günther M, Hutterer F, Pichlmaier H (1985) Endoscopic surgery in the rectum. Endoscopy 17:31–35PubMedCrossRef

Graham RA, Garnsey L, Jessup JM (1990) Local excision of rectal carcinoma. Am J Surg 160:306–312PubMedCrossRef

Buess G (1993) Review: transanal endoscopic microsurgery (TEM). J R Coll Surg Edinb 38:239–245PubMed

Lacy AM, García-Valdecasas JC, Delgado S, Castells A, Taurá P, Piqué JM, Visa J (2002) Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet 359:2224–2229PubMedCrossRef

Sylla P, Rattner DW, Delgado S, Lacy AM (2010) NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 24:1205–1210PubMedCrossRef

Title: Laparoscopic Radical Resection of Low Rectal Carcinoma Integrating Transanal Endoscopic Microsurgery: A Case Report
Authors: Ju-peng Yang
Wei-Hua Tong
Quan Wang
Jian Suo
Dong-Hui Sun
Publication date: 01-06-2013
Publisher: Springer India
Published in: Indian Journal of Surgery / Issue Special Issue 1/2013
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-012-0671-9

At a glance: The STEP trials

Springer Medicine

Laparoscopic Radical Resection of Low Rectal Carcinoma Integrating Transanal Endoscopic Microsurgery: A Case Report

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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