Objective: The aim of this study was to develop and validate a scoring system for bowel dysfunction after low anterior resection (LAR) for rectal cancer, on the basis of symptoms and impact on quality of life (QoL). Background: LAR for rectal cancer often results in severe bowel dysfunction (LAR syndrome [LARS]) with incontinence, urgency, and frequent bowel movements. Several studies have inve...

BACKGROUND Laparoscopy-assisted low anterior resection (LAR) of colorectal cancer, using a posterior surgical approach, is a difficult and controversial procedure to perform. We report successful operations on 13 patients with clear surgical margins and no serious complications. METHODS Thirteen patients [10 males and three females, age range: 48 to 69 years (median: 61 years)] with low adeno...

Rectovaginal fistula (RVF) and vesicovaginal fistula (VVF) are infrequent but distressing complications after pelvic surgery. However, their adequate treatment is not well described. Here, we simultaneously encountered and successfully treated RVF and VVF after radical surgery for rectal cancer. A 70-year-old woman underwent low anterior resection (LAR) combined with resection of the uterus, th...

Background The use of robot-assisted surgery for rectal cancer is increasing, but its short-term results remain unclear. We compared the outcomes and laparoscopic using a nationwide inpatient database. Methods analyzed patients registered in Japanese Diagnosis Procedure Combination database who underwent or from April 2018 to March 2020. Postoperative complication rates, anesthesia time, length...

The recent introduction of an intraoperative near infrared fluorescence (INIF) imaging system installed on the da Vinci Si® robotic system has enabled surgeons to identify intravascular NIF signals in real time. This technology is useful in identifying hidden vessels and assessing blood supply to bowel segments. In this study, we report 3 cases of patients with rectal cancer who underwent robot...

AIMS Low anterior resection (LAR) has higher risk of anastomotic leak with its attendant morbidity -mortality. De-functioning loop ileostomy (DLI), claimed to mitigate the consequences of anastomotic leak, has been questioned in recent years. This study aims to evaluate the impact of ileostomy on LAR. METHODS A retrospective analysis of stoma database. 136 patients with stoma (March 2011-July...