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A New Laparoscopic Surgical Procedure to Achieve Sufficient Mesorectal Excision in Upper Rectal Cancer
Joint Authors
Shiozaki, Hironori
Onodera, Hisashi
Sudo, Kazuki
Taketa, Takashi
Ohigashi, Seiji
Source
International Journal of Surgical Oncology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-10-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
Mesorectal excision corresponding to the location of a tumor, termed tumor-specific mesorectal excision (TSME), is commonly performed for resection of upper rectal cancer.
We devised a new laparoscopic procedure for sufficient TSME with rectal transection followed by mesorectal excision.
Operative Technique.
After mobilization of the sigmoid colon and ligation of inferior mesenteric vessels, we dissected the mesorectum along the layer of the planned total mesorectal excision.
The rectal wall was carefully separated from the mesorectum at the appropriate anal side from the tumor.
After the rectum was isolated and transected using an endoscopic linear stapler, the rectal stump drew immediately toward the anal side, enabling the mesorectum to be identified clearly.
In this way, sufficient TSME can be performed easily and accurately.
This technique has been successfully conducted on 19 patients.
Conclusion.
This laparoscopic technique is a feasible and reliable procedure for achieving sufficient TSME.
American Psychological Association (APA)
Ohigashi, Seiji& Taketa, Takashi& Sudo, Kazuki& Shiozaki, Hironori& Onodera, Hisashi. 2011. A New Laparoscopic Surgical Procedure to Achieve Sufficient Mesorectal Excision in Upper Rectal Cancer. International Journal of Surgical Oncology،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-492257
Modern Language Association (MLA)
Ohigashi, Seiji…[et al.]. A New Laparoscopic Surgical Procedure to Achieve Sufficient Mesorectal Excision in Upper Rectal Cancer. International Journal of Surgical Oncology No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-492257
American Medical Association (AMA)
Ohigashi, Seiji& Taketa, Takashi& Sudo, Kazuki& Shiozaki, Hironori& Onodera, Hisashi. A New Laparoscopic Surgical Procedure to Achieve Sufficient Mesorectal Excision in Upper Rectal Cancer. International Journal of Surgical Oncology. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-492257
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492257