Abstract
Despite years of literature demonstrating the safety, feasibility, and benefit of a minimally invasive surgical approach to colon cancer, half of the colectomies in the USA are still performed via an open approach. In this chapter, we will outline the workup, surgical setup, and operative steps for laparoscopic low anterior resection with special considerations for mid- and upper rectal cancers. We also provide tips for exposing the proper planes and how to avoid common intraoperative missteps. Our goal is to equip the novice minimally invasive surgeon with the tools needed to safely perform laparoscopic colorectal resections.
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Taylor F, Quirke P, Heald R, Moran B, Blomqvist L, Swift I, et al. Preoperative high-resolution magnetic resonance imaging can identify good prognosis stage I, II, and III rectal cancer best managed by surgery alone. Ann Surg. 2011;253(4):711ā9.
Fleshman J, Branda M, Sargent DJ, Boller AM, George V, Abbas M, et al. Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial. JAMA. 2015;314(13):1346ā55.
Stevenson ARL, Solomon MJ, Lumley JW, Hewett P, Clouston AD, Gebski VJ, et al. Effect of laparoscopic-assisted resection of open resection on pathological outcomes in rectal cancer: the ALACART trial. JAMA. 2015;314(13):1356ā63.
https://www.Facs.org/Quality-Programs/Cancer/Naprc/Standards.
Matsuda K, Yokoyama S, Hotta T, Hakifuji K, Watanabe T, Tamura K, et al. Oncological outcomes following rectal cancer surgery with high or low ligation of the inferior mesenteric artery. Gastrointest Tumors. 2017;4(1ā2):45ā52.
Matsuda K, Hotta T, Takifuji K, Yokoyama S, Oku Y, Watanabe T, et al. Randomized clinical trial of defaecatory function after anterior resection for rectal cancer with high versus low ligation of the inferior mesenteric artery. Br J Surg. 2015;102(5):501ā8.
Fujii S, Ishibe A, Ota M, Watanabe K, Watanabe J, Kunisaki C, et al. Randomized clinical trial of high versus low inferior mesenteric artery ligation during anterior resection for rectal cancer. BJS Open. 2018;2(4):195ā202.
Mari GM, Crippa J, Cocozza E, Berselli M, Livraghi L, Carzaniga P, et al. Low ligation of inferior mesenteric artery in laparoscopic anterior resection for rectal cancer reduces genitourinary dysfunction. Ann Surg. 2018; https://doi.org/10.1097/SLA.0000000000002947. [Epub ahead of print]
Jeong SY, Park JW, Nam BH, Kim S, Kang SB, Lim SB, et al. Open versus laparoscopic surgery for mid-rectal or low-rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol. 2010;11(7):637ā45.
Fleshman J, Branda ME, Sargent DJ, Boller AM, George VV, Abbas MA, et al. Disease-free survival and local recurrence for laparoscopic resection compared with open reseciton fo stage II to III rectal cancer: follow-up results of the ACOSOG Z6051 randomized controlled trial. Ann Surg. 2019;269(4):589ā95.
Jeong SY, Park JW, Nam BH, Kim S, Kang SB, Lim SB, et al. Open versus laparoscopic surgery for mid-rectal or low-rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): survival outcomes of an open-label, noninferiority, randomized controlled trial. Lancet Oncol. 2014;15(7):767ā74.
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Ā© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
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Haas, E.M., Hayman, A.V. (2020). Laparoscopic Low Anterior Resection for Rectal Cancer: TME Planes and Surgery of theĀ Upper and Mid-Rectum. In: Sylla, P., Kaiser, A., Popowich, D. (eds) The SAGES Manual of Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24812-3_23
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DOI: https://doi.org/10.1007/978-3-030-24812-3_23
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