Article
Multidisciplinary Sciences
Seung Yoon Yang, Ho Seung Kim, Min Soo Cho, Nam Kyu Kim
Summary: Understanding the anatomy of Denonvilliers' fascia is crucial for successful surgical outcomes in patients with rectal cancer. The debate over whether the surgical plane during total mesorectal excision should be anterior or posterior to the fascia continues. This study utilized micro-computed tomography to reveal the relationship between Denonvilliers' fascia, mesorectal fascia, and neurovascular bundles, highlighting the importance of a posterior dissection plane for optimal oncologic results.
SCIENTIFIC REPORTS
(2021)
Article
Oncology
Koya Hida, Daisuke Nishizaki, Atsuhiko Sumii, Ryosuke Okamura, Yoshiharu Sakai, Tsuyoshi Konishi, Tomonori Akagi, Tomohiro Yamaguchi, Takashi Akiyoshi, Meiki Fukuda, Seiichiro Yamamoto, Shigeki Arizono, Mamoru Uemura, Hirotoshi Hasegawa, Kenji Kawada, Satoshi Morita, Masahiko Watanabe
Summary: Lateral pelvic node dissection (LPND) is beneficial for low rectal cancer patients with lateral pelvic nodes measuring 5mm or more, showing significant improvement in 5-year overall survival and recurrence-free survival. However, LPND is associated with a higher incidence of postoperative complications.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Fang-Hai Han, Sheng-Ning Zhou, Guang-Yu Zhong, Jia-Nan Tan, Jing Huang, Han Gao, Zhi-Tao Chen, Jian-Kun Zhu, Shi-Lin Zhi, Jin-Tao Zeng, Bin Yang
Summary: A study compared the performance of 2D and 3D laparoscopy in preserving urogenital and anorectal function in TME+ANP surgery for rectal cancer. The results showed that 3D laparoscopic TME was associated with lower incidences of postoperative sexual and urinary dysfunction than 2D laparoscopic TME in male patients.
AMERICAN JOURNAL OF CANCER RESEARCH
(2022)
Article
Oncology
Fang -Hai Han, Sheng-Ning Zhou, Guang-Yu Zhong, Jia-Nan Tan, Jing Huang, Han Gao, Zhi-Tao Chen, Jian-Kun Zhu, Shi-Lin Zhi, Jin-Tao Zeng, Bin Yang
Summary: Comparison between 3D and 2D laparoscopy in preserving urogenital and anorectal function in TME+ANP surgery for rectal cancer shows that 3D laparoscopic TME is associated with lower incidences of postoperative sexual and urinary dysfunction in male patients compared to 2D laparoscopic TME.
AMERICAN JOURNAL OF CANCER RESEARCH
(2022)
Article
Gastroenterology & Hepatology
Sigmar Stelzner, Tillmann Heinze, Taxiarchis K. Nikolouzakis, Soeren Torge Mees, Helmut Witzigmann, Thilo Wedel
Summary: The study provided a comprehensive visualization of perirectal fasciae, identifying key structures such as the parietal pelvic fascia and fascial fusion zones. This understanding is crucial for rectal surgery strategies and autonomic nerve preservation.
DISEASES OF THE COLON & RECTUM
(2021)
Review
Surgery
C. A. Fleming, C. Cullinane, N. Lynch, S. Killeen, J. C. Coffey, C. B. Peirce
Summary: This systematic review and meta-analysis found more favorable urinary and erectile function outcomes in men undergoing robotic rectal cancer surgery compared to conventional laparoscopic surgery.However, outcomes among women were inconclusive.
BRITISH JOURNAL OF SURGERY
(2021)
Article
Medicine, Research & Experimental
Kai Li, Xiaobo He, Shilun Tong, Yongbin Zheng
Summary: The pelvic autonomic nerves are always surrounded by other tissues, necessitating protection of the continuous plane during surgery to reduce the risk of urinary and sexual dysfunction postoperatively.
MEDICAL HYPOTHESES
(2021)
Article
Surgery
Yihui Liu, Min Liu, Yang Lei, Hao Zhang, Jingmao Xie, Shaihong Zhu, Juan Jiang, Jianmin Li, Bo Yi
Summary: This study evaluated the impact of robotic technology on postoperative genitourinary function in patients undergoing TME for rectal cancer. The results showed that robotic-assisted TME had superior outcomes in the early postoperative period, contributing to the early recovery of postoperative genitourinary function.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Article
Surgery
Jin Cheon Kim, Jin Su Han, Jong Lyul Lee, Chan Wook Kim, Yong Sik Yoon, Sung Ho Park, Jihun Kim
Summary: Incomplete lateral pelvic mesorectal excision (LPME) in robot-assisted rectal cancer surgery is significantly associated with incomplete total mesorectal excision (TME) and higher rates of local recurrence (LR). Complete LPME may improve the likelihood of complete TME and lower LR rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Takeru Matsuda, Kimihiro Yamashita, Hiroshi Hasegawa, Naoki Urakawa, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Yoshihiro Kakeji
Summary: The 2-team method with transanal assistance is an efficient and safe approach for lateral pelvic lymph node dissection in patients with rectal cancer, reducing operative time and operator burden while ensuring a secure and effective dissection.
DISEASES OF THE COLON & RECTUM
(2021)
Review
Medicine, General & Internal
Nam Kyu Kim, Ho Seung Kim, Mohmmed Alessa, Radwan Torky
Summary: Surgery for rectal cancer aims to achieve radical resection with safe margins for improved oncologic and functional outcomes. Minimally invasive surgery allows for better visualization of nerve structures and meticulous dissection, leading to improved surgical quality.
YONSEI MEDICAL JOURNAL
(2021)
Article
Surgery
Toshihiro Nakao, Mitsuo Shimada, Kozo Yoshikawa, Takuya Tokunaga, Masaaki Nishi, Hideya Kashihara, Chie Takasu, Yuma Wada, Toshiaki Yoshimoto
Summary: This study visualized the pelvic nerves using MRI and synthesized 3D reconstruction images of the pelvic organs. It provided adequate visualization of the pelvic nerves and demonstrated the importance of preoperative confirmation of pelvic organ location to prevent unexpected injury during rectal cancer surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Hao Jin, Li Zheng, Ligong Lu, Min Cui
Summary: The clinical trial demonstrated the feasibility of intraoperative indocyanine green fluorescence imaging in identifying pelvic autonomic nerves, but further development is needed before it can be widely implemented.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Gastroenterology & Hepatology
Mohamed Ali Chaouch, Jim Khan, Talvinder Singh Gill, Arianeb Mehrabi, Christoph Reissfelder, Nuh Rahberi, Hazem Elhadedy, Hani Oweira
Summary: The study findings suggest that sTME is not associated with increased postoperative morbidity, mortality, or local recurrence compared to primary TME. However, sTME procedures have longer operative times, lower lymph node harvests, and a higher proportion of incomplete TME specimens.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Surgery
Kai Li, Pengcheng Pang, Hua Cheng, Junjie Zeng, Xiaobo He, Fengyu Cao, Qiang Luo, Shilun Tong, Yongbin Zheng
Summary: This study aimed to investigate the protective effect of laparoscopic functional total mesorectum excision (TME) on urinary and sexual functions in male patients with rectal cancer. The results showed that functional TME surgery was beneficial to faster recovery of urinary and sexual function for patients.
ASIAN JOURNAL OF SURGERY
(2023)