A Space Expander of Laparoscopic Rectal Cancer Surgery for Overweight or Obese Patients.
laparoscopic surgery
obese
rectal cancer
space expander
total mesorectal excision
Journal
Surgical innovation
ISSN: 1553-3514
Titre abrégé: Surg Innov
Pays: United States
ID NLM: 101233809
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
medline:
25
9
2023
pubmed:
15
3
2023
entrez:
14
3
2023
Statut:
ppublish
Résumé
Laparoscopic rectal cancer surgery (LRCS) has become a preferred approach for its minimal invasion and fast postoperative recovery. But it is challenging for the tumors of the middle and lower rectum, especially for overweight or obese patients. We present a space expander of laparoscopic rectal cancer surgery, which is a simple tool to widen the perirectal space, as to facilitate the procedure of total mesorectal excision (TME) during the rectal cancer surgery. It has several advantages of lower demand for an assistant, less risk of surgical complications and good feasibility. It is designed as a cylindrical shape, and it is the first invented device to help surgeons safely perform accurate TME on overweight or obese patients during LRCS. With this method, we are able to dissect the rectal wall circumferentially in a safe and quick way. Our previous pig experiments indicated that the learning curve for this technique was as short as 10 minutes. Further clinical trials will be conducted on its efficacy and safety in the future.
Sections du résumé
BACKGROUND/NEED
UNASSIGNED
Laparoscopic rectal cancer surgery (LRCS) has become a preferred approach for its minimal invasion and fast postoperative recovery. But it is challenging for the tumors of the middle and lower rectum, especially for overweight or obese patients.
METHODOLOGY
METHODS
We present a space expander of laparoscopic rectal cancer surgery, which is a simple tool to widen the perirectal space, as to facilitate the procedure of total mesorectal excision (TME) during the rectal cancer surgery. It has several advantages of lower demand for an assistant, less risk of surgical complications and good feasibility.
DEVICE DESCRIPTION
UNASSIGNED
It is designed as a cylindrical shape, and it is the first invented device to help surgeons safely perform accurate TME on overweight or obese patients during LRCS. With this method, we are able to dissect the rectal wall circumferentially in a safe and quick way.
PRELIMINARY RESULTS
RESULTS
Our previous pig experiments indicated that the learning curve for this technique was as short as 10 minutes.
CURRENT STATUS
RESULTS
Further clinical trials will be conducted on its efficacy and safety in the future.
Identifiants
pubmed: 36916661
doi: 10.1177/15533506231157793
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM