Advertisement

Laparoscopic Technique for Low Anterior Resection

  • Marta Jiménez Toscano
  • Antonio M. LacyEmail author
Chapter
  • 1.7k Downloads

Abstract

Total mesorectal excision (TME) is the standard surgical treatment for rectal cancer. Studies suggest that compared with open resection, laparoscopic TME provides similar oncologic outcomes while reducing hospital stay, minimizing recovery time, and improving cosmesis. The smaller abdominal incisions may also decrease the risk of wound infections and incisional hernia formation. In fact, the laparoscopic technique facilitates the surgical process by allowing for increased maneuverability and enhanced visualization within the surgical field of the pelvis. In this chapter, we focus on the major elements of laparoscopic low anterior resection and TME, highlighting the capability of achieving a laparoscopic approach to produce a favorable oncologic outcome.

Keywords

Rectal cancer Total mesorectal excision Laparoscopic Low anterior resection 

Supplementary material

Video 21.1

In this video, the surgeon demonstrates his approach to laparoscopic low anterior resection. (MP4 1507506 kb)

References

  1. 1.
    Heald RJ, Moran BJ, Ryall RD, Sexton R, MacFarlane JK. Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978–1997. Arch Surg. 1998;133(8):894–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Tytherleigh MG, Mc CMNJ. Options for sphincter preservation in surgery for low rectal cancer. Br J Surg. 2003;90(8):922–33. doi: 10.1002/bjs.4296.PubMedCrossRefGoogle Scholar
  3. 3.
    Boutros M, Hippalgaonkar N, Silva E, Allende D, Wexner SD, Berho M. Laparoscopic resection of rectal cancer results in higher lymph node yield and better short-term outcomes than open surgery: a large single-center comparative study. Dis Colon Rectum. 2013;56(6):679–88. doi: 10.1097/DCR.0b013e318287c594.PubMedCrossRefGoogle Scholar
  4. 4.
    Agha A, Benseler V, Hornung M, Gerken M, Iesalnieks I, Furst A, et al. Long-term oncologic outcome after laparoscopic surgery for rectal cancer. Surg Endosc. 2013;28(4):1119–25. doi: 10.1007/s00464-013-3286-8.PubMedCrossRefGoogle Scholar
  5. 5.
    Ng SS, Lee JF, Yiu RY, Li JC, Hon SS, Mak TW, et al. Laparoscopic-assisted versus open total mesorectal excision with anal sphincter preservation for mid and low rectal cancer: a prospective, randomized trial. Surg Endosc. 2014;28(1):297–306. doi: 10.1007/s00464-013-3187-x.PubMedCrossRefGoogle Scholar
  6. 6.
    Rullier E, Denost Q, Vendrely V, Rullier A, Laurent C. Low rectal cancer: classification and standardization of surgery. Dis Colon Rectum. 2013;56(5):560–7. doi: 10.1097/DCR.0b013e31827c4a8c.PubMedCrossRefGoogle Scholar
  7. 7.
    Sylla P, Bordeianou LG, Berger D, Han KS, Lauwers GY, Sahani DV, et al. A pilot study of natural orifice transanal endoscopic total mesorectal excision with laparoscopic assistance for rectal cancer. Surg Endosc. 2013;27(9):3396–405. doi:10.1007/s00464-013-2922-7.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Gastrointestinal SurgeryUniversity of Barcelona School of Medicine, Clinic Hospital, Quiron HospitalBarcelonaSpain
  2. 2.Centro Esther KoplowitzUniversity of BarcelonaBarcelonaSpain

Personalised recommendations