Transanal Total Mesorectal Excision for Low Rectal Cancer
Journal of Minimally Invasive Surgery
;
: 79-80, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-121901
ABSTRACT
A 70-year-old female patient was diagnosed with low rectal adenocarcinoma (cT3N2) based on the initial CT and MRI. The patient underwent neoadjuvant chemoradiotherapy consisting of short course radiotherapy with 5-fluorouracil (5-FU) and leucovorin (LV) chemotherapy. Three additional cycles of simplified infusional 5-FU/LV were given every 2 weeks to the patient during the resting period (8 weeks) before surgery. For transanal TME, a purse-string suture of the distal rectum was performed just above the dentate line. Transanal circumferential dissection including the mesorectum was performed from the dentate line until the peritoneal reflection. Thereafter, laparoscopic dissection was conducted using the medial to lateral approach and the inferior mesenteric artery was ligated at the pedicle. Lateral detachment and splenic flexure mobilization were completed. After full mobilization of the distal transverse colon and rectum, the specimen was retrieved through the anus and resected. Colo-anal anastomosis was performed by the hand-sewn method. A closed suction drain was inserted into the pelvis. We also demonstrate our procedure for transanal TME using a short video clip.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Canal Anal
/
Pelvis
/
Radioterapia
/
Neoplasias del Recto
/
Recto
/
Succión
/
Suturas
/
Imagen por Resonancia Magnética
/
Adenocarcinoma
/
Leucovorina
Límite:
Anciano
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Journal of Minimally Invasive Surgery
Año:
2016
Tipo del documento:
Artículo
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