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Natural orifice specimen extraction surgery of precision functional sphincter- preserving surgery for ultra-low rectal cancer (NOSES-PPS) is an innovative surgical technique that builds upon traditional laparoscopic surgery for low rectal cancer. This method utilizes a specially designed transparent screw-thread anal dilator and associated equipment to achieve precise tumor localization and resection through direct visualization via the anus. Digestive tract reconstruction is then accomplished using a combination of a precision circular stapler and manual suturing, thereby preserving sphincter function in patients with ultra-low rectal cancer.
View Article and Find Full Text PDFHand Compartment Syndrome After Prolonged Robotic-Assisted Laparoscopic Rectal Resection: A Case Report and Literature Review.
Case Rep Anesthesiol
October 2024
Department of Anesthesiology, SUNY Upstate Medical University, Syracuse 13210, NY, USA.
Hand compartment syndrome is a rare condition due to trauma and vascular obstruction or injury, such as fluid extravasation, vascular obstruction, or arterial injury from arterial line insertion during anesthesia. However, perioperative hand compartment syndrome with no apparent preexisting cause during anesthesia that requires fasciotomy is extremely rare. We report a case on a 54-year-old male with history significant for stage IIIA moderately differentiated adenocarcinoma of the rectum who was scheduled for ultralow rectal resection and cystourethroscopy with insertion of urethral stent.
View Article and Find Full Text PDFUrachal adenocarcinoma with cervical invasion misdiagnosed as primary cervical adenocarcinoma: a case report and literature review.
Front Oncol
September 2024
Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Article Synopsis
- * This case study details a female patient misdiagnosed with cervical adenocarcinoma, who eventually underwent multiple surgeries and chemotherapy after being correctly identified with urachal adenocarcinoma that spread to the bladder and vagina.
- * The findings emphasize the need for thorough histopathological evaluation for accurate diagnosis and suggest that anterior pelvic exenteration may be an effective treatment for local recurrences of UrC, although more research is needed.
A New Approach to Ultra-Low Anterior Resection-Intersphincteric Dissection With Total Hiatal Ligament Excision for Very Low Rectal Cancer Located in the Posterior Wall of the Rectum: A More Satisfactory Technique for Local Recurrence Control.
Cancer Med
October 2024
Department of Colorectal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Article Synopsis
- The study investigates the impact of tumor location in ultra-low rectal cancer on patient survival and how total hiatal ligament excision (THLE) affects outcomes for those with posterior rectal cancer.
- Results show that circumferential tumor location (CTL) does not influence overall survival or disease-free survival, but THLE significantly reduces local recurrence compared to traditional transection.
- Key risk factors for local recurrence-free survival include circumferential resection margin (CRM), TNM stage III, and traditional hiatal ligament transection (HLTT).
Transanal intersphincteric under direct view in the jackknife position combined with laparoscopic total mesorectal excision for treating ultra-low rectal cancer.
Front Surg
September 2024
Department of Colorectal and Anal Surgery, Huizhou Municipal People's Hospital, Huizhou, China.
Aim: To investigate the effect and clinical advantage of transanal intersphincteric (ISR) under direct view in the jackknife position combined with laparoscopic total mesorectal excision (TME) for treating ultra-low rectal cancer. Additionally, the feasibility of this surgical technique was evaluated.
Method: This was a retrospective, single-center, single-arm pilot study.
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