Anatomic variation of the relation between the inferior mesenteric artery and the bifurcation point of abdominal aorta during loweranteriorresection: A rare case report Identification and ligation of the inferior mesenteric artery (IMA) is a crucial surgical step when performing loweranteriorresection (LAR) for rectal cancer. Anatomic variations of the relation between the IMA
Prospective assessment of the quality of life in patients treated surgically for rectal cancer with loweranteriorresection and abdominoperineal resection. Rectal cancer is the most common malignant neoplasm of the gastrointestinal tract. The aim of the study was to assess the quality of life in patients undergoing surgical treatment for the rectal cancer, either lower anterior
Available Patient and Clinician Education Tools for the Management of LowerAnteriorResection Syndrome: A Systematic Review PROSPEROInternational prospective register of systematic reviews Print | PDFAvailable Patient and Clinician Education Tools for the Management of LowerAnteriorResection Syndrome: A Systematic ReviewPatrick Tang, Ian Ong, Racquel TovelTo enable PROSPERO to focus on COVID , Racquel Tovel. Available Patient and Clinician Education Tools for the Management of LowerAnteriorResection Syndrome: A Systematic Review. PROSPERO 2023 CRD42023434601 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023434601Review questionWhat available education tools and management guidelines do clinicians and patient’s have for the treatment of LARS?SearchesMEDLINE
Defunctioning cannula ileostomy after loweranteriorresection of rectal cancer. Most surgeons suggest the use of fecal diversion in patients undergoing low anterior resections of rectal tumors at high risk for anastomotic leakage. We describe an exploratory study to evaluate the efficacy and safety of a new diversion method called a spontaneously closing cannula ileostomy, which was designed
The limitations and challenges in implementing pelvic floor physiotherapy in patients with loweranteriorresection syndrome after sphincter-sparing colorectal cancer surgery The limitations and challenges in implementing pelvic floor physiotherapy in patients with loweranteriorresection syndrome after sphincter-sparing colorectal cancer surgery Print | PDF PROSPERO This information has been
Can trans-anal reinforcing sutures after double stapling in loweranteriorresection reduce the need for a temporary diverting ostomy? To evaluate trans-anal reinforcing sutures in low anterior resection using the double-stapled anastomosis technique for primary rectal cancers performed at a single institution. The data of patients who received trans-anal reinforcing sutures were compared
Transanal endoscopic microsurgery versus laparoscopic loweranteriorresection for the treatment of T1-2 rectal cancers. It remains unknown whether transanal endoscopic microsurgery (TEMS) is superior to laparoscopic loweranteriorresection (LAR) for the treatment of rectal cancer. This study aimed to compare the surgical and oncological effectiveness as well as safety of TEMS and LAR in T1-2
confirmed DE undergoing modified limited nerve-vessel sparing rectal segmental bowel resection or full-thickness discoid resection were evaluated. Extent of endometriosis was defined according to the #Enzian classification during surgery. The primary outcome measure was the correlation between lesion size and location with the GI function impairment reflected by presurgical loweranteriorresection
to conduct total intersphincteric resection (T-ISR) as maximal ASO, due to its technical complexity and potential anorectal dysfunction. Propensity-score matched cohorts undergoing robot-assisted R0 surgery [T-ISR vs APR vs partial-subtotal ISR (PS-ISR)/loweranteriorresection (LAR)] for rectal cancer (n = 1361) were included. Operative outcomes, recurrence, and disease-free/overall survival (DFS/OS) were
%) of whom underwent NVSSR and 37 (22.8%) FTDR, were evaluated regarding complication rates. Furthermore a loweranteriorresection syndrome (LARS) scores, gastrointestinal function-related quality of life index (GIQLI), pain symptoms, endometriosis health profile (EHP-30) parameters were analyzed pre- and post-surgery in a final cohort of 121 patients. There was no difference between postsurgical
-sparing full-thickness discoid resection (DR) or colorectal segmental resection (SR) between March 2011 and August 2016 were re-evaluated through telephone interviews about their long-term pain symptoms, subjective overall QoL as rated using a score from 0 (worst) to 10 (optimal), and gastrointestinal outcomes reflected by loweranteriorresection syndrome (LARS) following a first postsurgical
and conscious change was sent to our emergency department. The patient had underlying sigmoid adenocarcinoma and received chemotherapy FOLFIRI (FOL, folinic acid; F, fluorouracil; and IRI, irinotecan) with targeted therapy cetuximab following loweranteriorresection since the diagnosis was made. Brain magnetic resonance angiography revealed a filling defect in left carotid bulb, and neurosonography showed
was confirmed on biopsy. The hepatic mass connected with the right adrenal gland was laparoscopically resected in case 1. Laparoscopic loweranteriorresection for rectal malignancy and percutaneous biopsy for the hepatic mass were performed in case 2. The first patient had an uneventful recovery, without recurrence on the 3-year follow-up CT. The second patient had an uneventful postoperative course and has
. Procedures in the included studies were fully robotic, robot-assisted or mixed. The type of surgery varied, and included upper, middle or loweranteriorresection, abdominoperineal excision and coloanal anastomosis. Total or tumour-specific mesorectal excision was performed for all patients. Operating time was calculated in different ways in the included studies
melena with a blood pressure of 74/39 mm Hg was retrospectively reviewed. CT scan of the abdomen revealed a 8.9 × 7.2 cm mass in the pelvic floor. Given the difficulty of obtaining a diagnostic specimen, surgical resection was performed. The pathology report of loweranteriorresection was malignant PEComa of the rectum in 2006. Treatment consisted of surgical resection only without additional adjuvant
present pathological results of 173 loweranteriorresection (LAR) and abdominoperineal resection (APR) specimens retrospectively evaluated. MATERIAL AND METHODS We included 173 LAR and APR specimens in this study. Patients were evaluated in the Istanbul Ekin Private Pathology Laboratory and underwent surgery at Çanakkale State Hospital, General Surgery Clinic. RESULTS Of the 173 specimens, 15 (8.7
stage, presence of metastasis, preoperative complication, additional resection for metastasis or locally advanced tumor, location primary colon tumor, type of rectal surgery (loweranteriorresection or abdominal perineal resection), and type of neoadjuvant therapy (short-course radiotherapy or chemoradiotherapy). A total of 5,052 patients undergoing colon cancer surgery and 172 undergoing rectal
without cancer. Patients (≥18 years old) were identified from the Premier Research Database of US hospitals if they had any of the following types of elective surgical resections between 1/2008 and 12/2014: lung lobectomy, loweranteriorresection of the rectum (LAR), liver wedge resection, or total hysterectomy. Cancer status was determined based on ICD-9-CM diagnosis codes. Operating room time (ORT . no cancer who underwent total hysterectomy. Among patients who underwent each type of resection, risks for bleeding and infection were generally higher among patients with cancer as compared to those without cancer. In this analysis, we found that patients who underwent lung lobectomy, loweranteriorresection of the rectum (LAR), liver wedge resection or total hysterectomy for a cancer indication have
, Poulami Roy, Habib Alagbo, Shankhaneel Ghosh, Wireko Andrew Awuah, Oday Atallah. Comparing Outcomes of Diverting Stoma vs No Diversion in Laparoscopic Lower Colon Resection. PROSPERO 2024 CRD42024509623 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024509623Review question1. What is the impact of Laparoscopic Lower Colon Resection/ LowerAnteriorResection on the overall