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Surgical outcomes of hybrid hand‐assisted laparoscopic pelvic exenteration for locally advanced rectal cancer: Initial experience
Author(s) -
Tashiro Jo,
Fujii Manato,
Masaki Yukiyoshi,
Yamaguchi Shigeki
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12855
Subject(s) - medicine , pelvic exenteration , surgery , dissection (medical) , colorectal cancer , laparoscopic surgery , cancer , laparoscopy
Hybrid hand‐assisted laparoscopic surgery (HALS) combines better visualization of laparoscopic surgery with the advantages of open surgery. The aim of this study was to describe important technical considerations of HALS and to assess the feasibility of hybrid HALS pelvic exenteration (PE) for primary advanced rectal cancer. Methods From May 2012 to August 2018, we retrospectively analyzed 11 patients who underwent PE for primary advanced rectal cancer (< 10 cm from the anal verge). Patients were divided into the open PE group (n = 5) and the hybrid HALS PE group (n = 6). Results There was no significant difference in patient characteristics between the two groups, and all included patients were male. Tumor invasion to adjacent organs was mostly anterior invasion. In addition, four patients (66%) in the hybrid HALS PE group and two (40%) in the open PE group received neoadjuvant therapy ( P = .3). Conclusion Compared to open surgery, hybrid HALS has the advantages of less bleeding and less invasion, and can achieve the same results in the short‐term. It was a reasonable procedure which was easy and safe dissection of internal iliac vessels and dorsal vein complex. Thus, hybrid HALS may become a useful approach for PE.