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IRIS U kit usefulness in transanal total mesorectal excision for lower rectal cancer to avoid urethral injury.
- Source :
-
BMC gastroenterology [BMC Gastroenterol] 2024 Jun 17; Vol. 24 (1), pp. 203. Date of Electronic Publication: 2024 Jun 17. - Publication Year :
- 2024
-
Abstract
- Transanal total mesorectal excision (taTME) has improved the laparoscopic dissection for rectal cancer in the narrow pelvis. Although taTME has more clinical benefits than laparoscopic surgery, such as a better view of the distal rectum and direct determination of distal resection margin, an intraoperative urethral injury could occur in excision ta-TME. This study aimed to determine the feasibility and efficacy of the ta-TME with IRIS U kit surgery. This retrospective study enrolled 10 rectal cancer patients who underwent a taTME with an IRIS U kit. The study endpoints were the safety of access (intra- or postoperative morbidity). The detectability of the IRIS U kit catheter was investigated by using a laparoscope-ICG fluorescence camera system. Their mean age was 71.4±6.4 (58-78) years; 80 were men, and 2 were women. The mean operative time was 534.6 ± 94.5 min. The coloanal anastomosis was performed in 80%, and 20% underwent abdominal peritoneal resection. Two patients encountered postoperative complications graded as Clavien-Dindo grade 2. The transanal approach with IRIS U kit assistance is feasible, safe for patients with lower rectal cancer, and may prevent intraoperative urethral injury.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
Male
Female
Aged
Middle Aged
Retrospective Studies
Operative Time
Proctectomy methods
Proctectomy adverse effects
Intraoperative Complications prevention & control
Intraoperative Complications etiology
Rectum surgery
Anastomosis, Surgical adverse effects
Anastomosis, Surgical methods
Laparoscopy methods
Laparoscopy adverse effects
Rectal Neoplasms surgery
Urethra injuries
Urethra surgery
Transanal Endoscopic Surgery methods
Transanal Endoscopic Surgery adverse effects
Feasibility Studies
Postoperative Complications prevention & control
Postoperative Complications etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1471-230X
- Volume :
- 24
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 38886646
- Full Text :
- https://doi.org/10.1186/s12876-024-03279-8