ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2010
Safety and feasibility of laparoscopic intersphincteric resection for very low rectal cancer.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05067413 (A Prospective Non-randomized Controlled Multi-center Study of Laparoscopic Intracorporeal Distal Rectal Transection by Using the Traditional Approach vs. Using Transanterior Obturator Nerve Gateway Approach for Ultralow Rectal Cancers), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Prospective Non-randomized Controlled Multi-center Study of Laparoscopic Intracorporeal Distal Rectal Transection by Using the Traditional Approach vs. Using Transanterior Obturator Nerve Gateway Approach for Ultralow Rectal Cancers
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Laparoscopy is non-inferior to open surgery for rectal cancer: A systematic review and meta-analysis.Cancer medicine · 2024Pooled it
- Laparoscopic intersphincteric resection versus an open approach for low rectal cancer: a meta-analysis.World journal of surgical oncology · 2017Pooled it
- Short-term outcomes of laparoscopic intersphincteric resection from a phase II trial to evaluate laparoscopic surgery for stage 0/I rectal cancer: Japan Society of Laparoscopic Colorectal Surgery Lap RC.Surgical endoscopy · 2012Trial
- Robot-assisted intersphincteric resection for low rectal cancer: technique and short-term outcome for 29 consecutive patients.Surgical endoscopy · 2011Trial
- Long-term functional and prognostic outcomes of robotic intersphincteric resection for treating low rectal cancer: a single-center retrospective study.International journal of colorectal disease · 2025Article
- Robotic vs. laparoscopic intersphincteric resection for low rectal cancer: a case matched study reporting a median of 7-year long-term oncological and functional outcomes.Updates in surgery · 2022Article
- Clinical efficacy of different approaches for laparoscopic intersphincteric resection of low rectal cancer: a comparison study.World journal of surgical oncology · 2022Article
- Surgical Treatment of Low-Lying Rectal Cancer: Updates.Annals of coloproctology · 2021Review
- Educational system for acquiring appropriate laparoscopic colorectal surgical skills: analysis in a Japanese high-volume cancer center.Surgical endoscopy · 2021Article
- Effects of needlescopic surgery on postoperative pain in intersphincteric or abdominoperineal resection.Langenbeck's archives of surgery · 2021Article
- Predisposing factors and clinical impact of high-output syndrome after sphincter-preserving surgery with covering ileostomy for rectal cancer: a retrospective single-center cohort study.International journal of clinical oncology · 2021Article
- Latest Advances in Intersphincteric Resection for Low Rectal Cancer.Gastroenterology research and practice · 2020Review
- Clinicopathological characteristics and frequency of multiple rectal neuroendocrine tumors: a single-center retrospective study.International journal of colorectal disease · 2019Article
- Intersphincteric Resection for Patients With Low-Lying Rectal Cancer: Oncological and Functional Outcomes.Annals of coloproctology · 2018Article
- Survival and functional and oncological outcomes following intersphincteric resection for low rectal cancer: short-term results.The Journal of international medical research · 2018Article
- Laparoscopic Versus Open Approach for Intersphincteric Resection-Results from a Tertiary Cancer Center in India.Indian journal of surgical oncology · 2017Article
- Safety and feasibility of laparoscopic intersphincteric resection for a lower rectal tumor.Oncology letters · 2017Article
- Clinical and functional results of laparoscopic intersphincteric resection for ultralow rectal cancer: is there a distinction between the three types of hand-sewn colo-anal anastomosis?International journal of colorectal disease · 2017Article
- Laparoscopic intersphincteric resection: indications and results.Updates in surgery · 2016Article
- Prognostic Impact of Distribution of Lymph Node Metastases in Stage III Colon Cancer.World journal of surgery · 2015Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic surgery has been reported to be one of the approaches for total mesorectal excision (TME) in rectal cancer surgery. Intersphincteric resection (ISR) has been reported as a promising method for sphincter-preserving operation in selected patients with very low rectal cancer.
methodsFrom July 2005 to December 2008, 35 patients with very low rectal cancer underwent laparoscopic TME with ISR. The results were compared retrospectively with those of previous open TME with ISR.
resultsConversion to open surgery was necessary in one (3%) patient. The median operation time was 293 min and median estimated blood loss was 40 ml. The pelvic plexus was completely preserved in 32 patients. There was no mortality. Postoperative complications occurred in three (9%) patients. The median length of postoperative hospital stay was 17 days. Macroscopic complete mesorectal excision was achieved in all cases. Complete resection (R0) was achieved in 34 patients. Clinical lymph node stage, operation time, and blood loss were significantly different between the laparoscopic group and open group, but the differences of other factors were not statistically significant.
conclusionsLaparoscopic TME with ISR is technically feasible and a safe alternative to laparotomy with favorable short-term postoperative outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.