A 65-year-old man with stage IIB moderately differentiated rectal adenocarcinoma, 6cm from the anal verge on digital rectal examination, underwent ultra-low anterior resection with coloanal anastomosis and defunctioning loop ileostomy. The anastomosis was 4cm from the anal verge. At 1 week after discharge, the patient returned with mild anal pain and seropurulent anal discharge, but no fever. A...

BACKGROUND There is a lack of information regarding the oncological safety of robotic intersphincteric resection (ISR) with coloanal anastomosis. The objective of this study was to compare the long-term feasibility of robotic compared with laparoscopic ISR. METHODS Between January 2008 and May 2011, consecutive patients who underwent robotic or laparoscopic ISR with coloanal anastomosis from ...

AIM Purpose of this study was to evaluate short and long term functional outcomes after TME (total mesorectal excision) for rectal cancer. The role of straight anastomosis or colonic J-pouch reconstruction is investigated, as well as the impact of preoperative chemoradiotherapy is analyzed as a cause of the so called "anterior resection syndrome". METHODS We enrolled 40 patients (17 male and ...

The authors present the four-arm single docking full robotic surgery to treat low rectal cancer. The eight main operative steps are: 1- patient positioning; 2- trocars set-up and robot docking; 3- sigmoid colon, left colon and splenic flexure mobilization (lateral-to-medial approach); 4-Inferior mesenteric artery and vein ligation (medial-to-lateral approach); 5- total mesorectum excision and p...

HYPOTHESIS Because of the concerns over the operative platform, accidental organ injury, and viscerotomy closure, natural orifice transluminal endoscopic surgery (NOTES) currently remains an experimental technique. Transanal NOTES for colorectal surgery overcomes all of these issues; however, all of the reports to date have used hybrid laparoscopic techniques. We demonstrate herein the first ca...

Received December 10, 2007, Accepted March 3, 2008 Correspondence to: Bong Hwa Lee, Department of Surgery, Hallym University College of Medicine, 896 Pyoungchon-dong, Anyang, Kyoungki 431-070, Korea Tel: +82-31-380-1500, Fax: +82-31-380-4118 E-mail: [email protected] Purpose: Local control and functional results of an intersphincteric resection are controversial in Asian, low BMI patients, ev...

Intersphincteric resection (ISR) is the ultimate sphincter saving procedure for low rectal cancer. Hemorrhoids are a common benign condition. We present and discuss a case of ISR which developed painful edematous hemorrhoids after ISR. A 62-year-old female with low rectal cancer received neoadjuvant chemoradiotherapy with successful down staging of tumor before undergoing robot assisted ISR wit...

OBJECTIVES Low anterior resection with hand-sutured coloanal anastomosis for low rectal cancer is technically feasible, and it does not compromise oncologic results. We describe herein the effectiveness of the operation in treating low rectal cancer by a laparoscopic approach followed by intraanal canal dissection. METHODS From February 1999 to October 1999, we used a laparoscopic procedure t...

BACKGROUND Options for reconstruction after low anterior resection (LAR) for rectal cancer include straight or side-to-end coloanal anastomosis (CAA), colonic J pouch and transverse coloplasty. This systematic review compared these techniques in terms of function, surgical outcomes and quality of life. METHODS A systematic literature search (MEDLINE, Embase and the Cochrane Library, from ince...