LAPAROSCOPIC TREATMENT OF RECTAL CANCER

Khirurgiia (Sofiia). 2015;81(2):13-28.
[Article in Bulgarian, English]

Abstract

There is an established standard for the surgical treatment of rectal neoplasms. Every conventional operation can be performed by means of laparoscopy, if the complex approach to the disease and classical oncological principles are observed. Depending on the height of tumor, surgical operations, different in tactical and technical terms, are performed. The correct preoperative staging, planning, and securing of resources guarantee the favorable outcome of therapy. The main advantages are the less postoperative pain and briefer hospital stay. The better visualization of pelvic organs and routine use of high-energy sources reduce the blood loss and potential complications. With a view to ensure modern treatment of this major group of patients, the input of the required resources, for turning into one of the routine methods of rectal cancer treatment, is a necessity. ABBREVIATIONS USED: LAR (laparoscopic anterior resection), LLAR (low laparoscopic anterior resection), LIsRR (laparoscopic intersphincteric resection of the rectum), TME (total mesorectal excision), TATME (transanal total mesorectal excision), LER (laparoscopic extirpation of the rectum), IMA (inferior mesenteric artery), and IMV (inferior mesenteric vein).

Publication types

  • Review

MeSH terms

  • Anal Canal / surgery
  • Humans
  • Laparoscopy / methods*
  • Mesenteric Artery, Inferior / surgery
  • Mesenteric Veins / surgery
  • Rectal Neoplasms / blood supply
  • Rectal Neoplasms / surgery*
  • Rectum / blood supply
  • Rectum / surgery*