BACKGROUND: This study was designed to evaluate the feasibility and safety of total laparoscopic sigmoid and rectal surgery without abdominal incision in combination with transanal endoscopic microsurgery (TEM). METHODS: From May 2010 to October 2011, 34 patients with colon and rectal tumors were treated by total laparoscopic surgery without abdominal incision, and the clinical data of these patients were reviewed. RESULTS: All operations could be successfully accomplished without conversion to open surgery. No diverting ileostomy was created. The average operative time was 151.60 (range, 125-185) minutes. The average blood loss was 200.20 (range, 55-450) ml. All resection margins were negative. Six patients developed postoperative anastomotic leakage. There were no reports of other complications in all patients. CONCLUSIONS: This preliminary study indicated that total laparoscopic sigmoid and rectal surgery in combination with TEM was a safe, feasible, and minimally invasive technique. This advanced surgical technique was developed by combining laparoscopy with the concept of natural orifice transluminal endoscopic surgery.
BACKGROUND: This study was designed to evaluate the feasibility and safety of total laparoscopic sigmoid and rectal surgery without abdominal incision in combination with transanal endoscopic microsurgery (TEM). METHODS: From May 2010 to October 2011, 34 patients with colon and rectal tumors were treated by total laparoscopic surgery without abdominal incision, and the clinical data of these patients were reviewed. RESULTS: All operations could be successfully accomplished without conversion to open surgery. No diverting ileostomy was created. The average operative time was 151.60 (range, 125-185) minutes. The average blood loss was 200.20 (range, 55-450) ml. All resection margins were negative. Six patients developed postoperative anastomotic leakage. There were no reports of other complications in all patients. CONCLUSIONS: This preliminary study indicated that total laparoscopic sigmoid and rectal surgery in combination with TEM was a safe, feasible, and minimally invasive technique. This advanced surgical technique was developed by combining laparoscopy with the concept of natural orifice transluminal endoscopic surgery.
Authors: Anthony N Kalloo; Vikesh K Singh; Sanjay B Jagannath; Hideaki Niiyama; Susan L Hill; Cheryl A Vaughn; Carolyn A Magee; Sergey V Kantsevoy Journal: Gastrointest Endosc Date: 2004-07 Impact factor: 9.427
Authors: Patricia Sylla; Dae Kyung Sohn; Sevdenur Cizginer; Yusuf Konuk; Brian G Turner; Denise W Gee; Field F Willingham; Maylee Hsu; Mari Mino-Kenudson; William R Brugge; David W Rattner Journal: Surg Endosc Date: 2010-02-21 Impact factor: 4.584
Authors: Pierre J Guillou; Philip Quirke; Helen Thorpe; Joanne Walker; David G Jayne; Adrian M H Smith; Richard M Heath; Julia M Brown Journal: Lancet Date: 2005 May 14-20 Impact factor: 79.321
Authors: Heidi Nelson; Daniel J Sargent; H Sam Wieand; James Fleshman; Mehran Anvari; Steven J Stryker; Robert W Beart; Michael Hellinger; Richard Flanagan; Walter Peters; David Ota Journal: N Engl J Med Date: 2004-05-13 Impact factor: 91.245
Authors: David G Jayne; Pierre J Guillou; Helen Thorpe; Philip Quirke; Joanne Copeland; Adrian M H Smith; Richard M Heath; Julia M Brown Journal: J Clin Oncol Date: 2007-07-20 Impact factor: 44.544
Authors: Elisabeth C McLemore; Christina R Harnsberger; Ryan C Broderick; Hyuma Leland; Patricia Sylla; Alisa M Coker; Hans F Fuchs; Garth R Jacobsen; Bryan Sandler; Vikram Attaluri; Anna T Tsay; Steven D Wexner; Mark A Talamini; Santiago Horgan Journal: Surg Endosc Date: 2015-12-10 Impact factor: 4.584
Authors: Albert M Wolthuis; Anthony de Buck van Overstraeten; Steffen Fieuws; Katrien Boon; André D'Hoore Journal: Surg Endosc Date: 2014-08-23 Impact factor: 4.584
Authors: Elisabeth C McLemore; Alisa M Coker; Bikash Devaraj; Jeffrey Chakedis; Ali Maawy; Tazo Inui; Mark A Talamini; Santiago Horgan; Michael R Peterson; Patricia Sylla; Sonia Ramamoorthy Journal: Surg Endosc Date: 2013-03-14 Impact factor: 4.584
Authors: S Atallah; B Martin-Perez; M Albert; T deBeche-Adams; G Nassif; L Hunter; S Larach Journal: Tech Coloproctol Date: 2013-11-23 Impact factor: 3.781