Transanal approach for intersphincteric resection of rectal cancer in a patient with a huge prostatic hypertrophy

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• 作者：Yoshiyuki Kiyasu ; Kenji Kawada&#8230
• 关键词：Transanal approach ; Total mesorectal excision ; Intersphincteric resection ; Rectal cancer ; Prostatic hypertrophy
• 刊名：International Cancer Conference Journal
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：6
• 期：1
• 页码：1-3
• 全文大小：858KB
• 刊物主题：Oncology; Surgical Oncology;
• 出版者：Springer Japan
• ISSN：2192-3183
• 卷排序：6

文摘

The gold standard of surgical technique for rectal cancer is total mesorectal excision (TME). Laparoscopic TME has been proven to provide surgical safety and oncological outcomes equivalent to open TME. However, dissection of the lower rectum has some inherent difficulties related to a narrow pelvic space. The challenge of TME in the lower rectum was confirmed by the Colorectal Cancer Laparoscopic or Open Resection (COLOR) II trial showing a 9% positive circumferential margin (CRM) rate in laparoscopic TME and a 22% positive CRM rate in open TME. Recently, transanal TME has attracted intense attention as a promising alternative to laparoscopic TME. In this video article, we show the performance of a transanal approach for intersphincteric resection (ISR) of rectal cancer in a patient with a huge prostatic hypertrophy.