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Robotic abdominoperineal resection, bilateral robotic groin node dissection and simultaneous perineal gracilis flap reconstruction for locally advanced node-positive anal squamous cell carcinoma
Mohammed Ali, Melanie Holzgang, Vivekanandan Kumar, Dhalia Masud, Sandeep Kapur, Ahmed El-Hadi, Dolly Dowsett, Irshad Shaikh
Received January 2, 2024  Accepted May 1, 2024  Published online December 2, 2024  
DOI: https://doi.org/10.3393/ac.2023.00801.0114    [Epub ahead of print]
  • 98 View
  • 2 Download
PDFSupplementary Material
Video clip
Tips and tricks for transluminal specimen extraction and extra-abdominal sigmoid colon resection
Vladimir Balaban, Mikhail Mutyk, Kamil Abumuslimov, Mikhail Klochkov, Ivan Mishchenko, Petr Tsarkov
Ann Coloproctol. 2024;40(5):519-520.   Published online July 11, 2024
DOI: https://doi.org/10.3393/ac.2023.00689.0098
  • 1,110 View
  • 32 Download
PDFSupplementary Material
Video clip
Cranial-first approach for laparoscopic extended right hemicolectomy
Kyong-Min Kang, Heung-Kwon Oh, Hong-Min Ahn, Tae-Gyun Lee, Hye-Rim Shin, Mi-Jeong Choi, Duck-Woo Kim, Sung-Bum Kang
Ann Coloproctol. 2024;40(3):282-284.   Published online June 19, 2024
DOI: https://doi.org/10.3393/ac.2023.00661.0094
  • 2,892 View
  • 158 Download
AbstractAbstract PDFSupplementary Material
Complete mesocolic excision and central vascular ligation with D3 lymphadenectomy are important surgical principles for improving oncological outcomes in colon cancer. The cranial-first approach is a colonic mobilization–first approach to radical right hemicolectomy, which has several advantages, including early feasibility assessment, safe dissection from surrounding organs, preestablished inferior margin of lymph node dissection, and revelation of the tangible anatomy of the tributaries of the gastrocolic trunk. This video demonstrates the cranial-first approach to radical right hemicolectomy in a 66-year-old man with locally advanced cecal cancer.
Video clip
Robotic total colectomy and ileorectal anastomosis
Jonathan Yu Jin Chua, Nan Zun Teo, James Chi-Yong Ngu
Ann Coloproctol. 2024;40(2):186-187.   Published online April 22, 2024
DOI: https://doi.org/10.3393/ac.2024.00066.0009
  • 2,144 View
  • 97 Download
AbstractAbstract PDFSupplementary Material
The benefits of minimally invasive approaches in colorectal surgery have been well demonstrated. However, some hesitancy remains with regards to the utilization of the robotic platform for total colectomies, mostly due to the perceived need for multiple re-dockings in multiquadrant surgery. This video aims to demonstrate how the robotic platform can be efficiently utilized in multiquadrant surgery without the need for multiple re-dockings, as well as some tips on how to overcome the potential challenges that may be encountered during this procedure.
Tips and tricks for robotic lateral pelvic node dissection
James Chi-Yong Ngu, Nan-Zun Teo
Ann Coloproctol. 2023;39(6):531-531.   Published online December 26, 2023
DOI: https://doi.org/10.3393/ac.2023.00766.0109
  • 2,474 View
  • 110 Download
AbstractAbstract PDFSupplementary Material
Lateral pelvic node dissection can be challenging. In addition to detailed anatomical knowledge of the pelvic side wall, surgeons also need to be proficient in performing fine dissection within the confines of this limited operative field. While the incorporation of robotics can facilitate the safe completion of this technically demanding procedure, this is nonetheless dependent on the way the robotic system is used. This video aims to demonstrate several tips and tricks for performing robotic lateral pelvic node dissection.
Video clip
Laparoscopic right hemicolectomy with aortocaval lymphadenectomy, and pelvic peritoneum partial resection for ascending colon cancer
Hannah Kim, An Na Seo, Soo Yeun Park
Ann Coloproctol. 2023;39(3):283-286.   Published online February 9, 2023
DOI: https://doi.org/10.3393/ac.2022.00780.0111
  • 2,676 View
  • 114 Download
  • 1 Web of Science
  • 1 Citations
AbstractAbstract PDFSupplementary Material
The aim of this video is to present the procedural details of laparoscopic right hemicolectomy with aortocaval (infrarenal aortic bifurcation) lymphadenectomy, partial resection of the pelvic peritoneum (peritoneal carcinomatosis index, 3), and hyperthermic intraperitoneal chemotherapy in a patient who received neoadjuvant chemotherapy for stage IVc colorectal cancer. The total operation time was 290 minutes, and the patient was discharged on a postoperative day 13 without any complications. No postoperative complications occurred until postoperative day 60. The pathological stage of the tumor was determined to be T3N2bM1c. The pelvic peritoneal nodule was pathologically confirmed as a metastatic lesion. Among the 12 harvested aortocaval lymph nodes, 6 were metastatic lymph nodes. The minimally invasive approach was safe and feasible in this highly selected patient with colon cancer, aortocaval lymph nodes, and peritoneal metastases.

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Citations to this article as recorded by  
  • Clinical Effectiveness of Fluorescence Lymph Node Mapping Using ICG for Laparoscopic Right Hemicolectomy: A Prospective Case–Control Study
    Gyung Mo Son, Mi Sook Yun, In Young Lee, Sun Bin Im, Kyung Hee Kim, Su Bum Park, Tae Un Kim, Dong-Hoon Shin, Armaan M. Nazir, Gi Won Ha
    Cancers.2023; 15(20): 4927.     CrossRef
Malignant disease, Rectal cancer
Robotic Partial Excision of Levator-Ani Muscle for Locally Advanced Low Rectal Cancer Invading Ipsilateral Pelvic Floor
Seung Yoon Yang, Nam Kyu Kim
Ann Coloproctol. 2020;36(6):415-416.   Published online December 31, 2020
DOI: https://doi.org/10.3393/ac.2020.06.29
  • 3,882 View
  • 83 Download
  • 9 Web of Science
  • 6 Citations
AbstractAbstract PDFSupplementary Material
Tumors at the level of the anorectal junction had required abdominoperineal resection (APR) to achieve an adequate resection margin. However, in the cases of tumor invading ipsilateral levator-ani muscle (LAM), en-bloc resection of the rectum with LAM including tumor would be possible. This video is to show the critical anatomic steps of this procedure. A video was produced from the robotic right partial excision of LAM (PELM) performed in a 57-year-old female patient with rectal cancer at 3 cm from the anal verge, invading the ipsilateral anorectal ring, who had received neoadjuvant chemoradiotherapy. The patient discharged at postoperative day 8 without complication. The pathology of the surgical specimen revealed ypT3N1bM0. The secure resection margin from the tumor was achieved. Robotic PELM is the sphincter-preserving technique that can be an alternative treatment option for low rectal cancer invading the ipsilateral LAM, which has been an indication for APR or extralevator APR.

Citations

Citations to this article as recorded by  
  • Tailoring rectal cancer surgery: Surgical approaches and anatomical insights during deep pelvic dissection for optimal outcomes in low‐lying rectal cancer
    Youn Young Park, Nam Kyu Kim
    Annals of Gastroenterological Surgery.2024; 8(5): 761.     CrossRef
  • Recent advances in functional bismuth chalcogenide nanomaterials: Cancer theranostics, antibacterial and biosensing
    Qian Wang, Jun Du, Ruizhuo Ouyang, Baolin Liu, Yuqing Miao, Yuhao Li
    Coordination Chemistry Reviews.2023; 492: 215281.     CrossRef
  • Robotic APR with en bloc TAH/BSO and posterior vaginectomy
    M. S. Meece, L. P. Horner, S. J. Danker, A. K. Sinno, N. Paluvoi
    Techniques in Coloproctology.2023; 27(12): 1381.     CrossRef
  • Current status and role of robotic approach in patients with low-lying rectal cancer
    Hyo Seon Ryu, Jin Kim
    Annals of Surgical Treatment and Research.2022; 103(1): 1.     CrossRef
  • Robot-Assisted Colorectal Surgery
    Young Il Kim
    The Ewha Medical Journal.2022;[Epub]     CrossRef
  • Outcomes of robotic partial excision of the levator ani muscle for locally advanced low rectal cancer invading the ipsilateral pelvic floor at the anorectal ring level
    Seung Yoon Yang, Min Soo Cho, Nam Kyu Kim
    The International Journal of Medical Robotics and Computer Assisted Surgery.2021;[Epub]     CrossRef
Malignant disease, Rectal cancer,Minimally invasive surgery,Surgical technique
Standardized Step-by-step Technique Using Surgical Landmarks in Robotic Lateral Pelvic Lymph Node Dissection
Jung Hoon Bae, Wooree Koh, Hyun Ho Kim, Yoon Suk Lee
Ann Coloproctol. 2021;37(1):58-60.   Published online September 18, 2020
DOI: https://doi.org/10.3393/ac.2020.08.05
  • 6,983 View
  • 258 Download
  • 8 Web of Science
  • 8 Citations
AbstractAbstract PDFSupplementary Material
We aimed to show that a standardized step-by-step robotic approach using surgical landmarks could make lateral pelvic lymph node dissection (LPND) less complicated. We performed robot-assisted LPND consisting of 4 steps using surgical landmarks. The first step is a dissection of uretero-hypogastric fascia, which envelopes the ureter and the hypogastric nerve. The second step is a dissection of the medial side of the external iliac vein located at the lateral border of the obturator lymph nodes (LNs) group. The third step is a dissection of the vesico-hypogastric fascia, which is at the medial border of the obturator LNs group. The final step is a dissection of the internal iliac artery until the Alcock’s canal. Indocyanine green was injected just before surgery around the dentate line to identify the lateral pelvic LNs. Standardization using a robotic approach for LPND guided by surgical landmarks allows a safer and more effective surgery.

Citations

Citations to this article as recorded by  
  • The use of indocyanine green for lateral lymph node dissection in rectal cancer—preliminary data from an emerging procedure: a systematic review of the literature
    D. Kehagias, C. Lampropoulos, A. Bellou, I. Kehagias
    Techniques in Coloproctology.2024;[Epub]     CrossRef
  • Japanese expert consensus on the standardization of robot‐assisted pelvic lymph node dissection in urological surgery: Extent of pelvic lymph node and surgical technique
    Shuichi Morizane, Jun Miki, Masaki Shimbo, Toru Kanno, Noriyoshi Miura, Yuta Yamada, Takeshi Yamasaki, Takashi Saika, Atsushi Takenaka
    International Journal of Urology.2024; 31(12): 1300.     CrossRef
  • Simplified approach to the medial internal iliac region using a uretero‐hypogastric nerve fascia development procedure for extended pelvic lymph node dissection during robot‐assisted radical prostatectomy for high‐risk prostate cancer
    Masaki Shimbo, Takehiro Ohyama, Fumiyasu Endo, Kenji Komatsu, Yoko Kyono, Masayuki Sano, Kazutaka Narimoto, Kazunori Hattori
    International Journal of Urology.2023; 30(2): 190.     CrossRef
  • Lateral Lymph Node Size and Tumor Distance From Anal Verge Accurately Predict Positive Lateral Pelvic Lymph Nodes in Rectal Cancer: A Multi-Institutional Retrospective Cohort Study
    Jung Hoon Bae, Jumyung Song, Ji Hoon Kim, Bong-Hyeon Kye, In Kyu Lee, Hyeon-Min Cho, Yoon Suk Lee
    Diseases of the Colon & Rectum.2023; 66(6): 785.     CrossRef
  • Robotic Lateral Pelvic Lymph Node Dissection Could Harvest More Lateral Pelvic Lymph Nodes over Laparoscopic Approach for Mid-to-Low Rectal Cancer: A Multi-Institutional Retrospective Cohort Study
    Jung Hoon Bae, Jumyung Song, Ri Na Yoo, Ji Hoon Kim, Bong-Hyeon Kye, In Kyu Lee, Hyeon-Min Cho, Yoon Suk Lee
    Biomedicines.2023; 11(6): 1556.     CrossRef
  • Influence of the COVID-19 Pandemic on the Treatment Patterns and Outcomes of Colorectal Cancer
    In Ja Park
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • Robot-Assisted Colorectal Surgery
    Young Il Kim
    The Ewha Medical Journal.2022;[Epub]     CrossRef
  • Enhanced recovery after surgery: importance of compliance audits
    Jung Hoon Bae
    Journal of the Korean Medical Association.2021; 64(12): 820.     CrossRef
Reduced-Port Laparoscopic Surgery for Patients With Proximal Transverse Colon Cancer With Situs Inversus Totalis: A Case Report
Seung-Seop Yeom, Kyung Hwan Kim, Soo Young Lee, Chang Hyun Kim, Hyeong Rok Kim, Young Jin Kim
Ann Coloproctol. 2018;34(6):322-325.   Published online December 31, 2018
DOI: https://doi.org/10.3393/ac.2018.05.29.1
  • 7,193 View
  • 95 Download
  • 5 Web of Science
  • 4 Citations
AbstractAbstract PDFSupplementary Material
Situs inversus is a rare hereditary disorder in which various anomalies have been reported with internal rotation abnormalities. This case involved an 85-year-old woman who had been diagnosed with transverse colon cancer and who underwent reduced-port laparoscopic surgery. All intra-abdominal organs were reversed left to right and right to left. The aberrant midcolic artery was identified during surgery. The total surgery time was 170 minutes, and the patient lost 20 mL of blood. The patient was discharged on the 8th postoperative day without complications.

Citations

Citations to this article as recorded by  
  • Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review
    Bo-Ya Chiu, Shu-Hung Chuang, Shih-Chang Chuang, Kung-Kai Kuo
    World Journal of Clinical Cases.2023; 11(9): 1939.     CrossRef
  • Laparoscopic radical resection for situs inversus totalis with colonic splenic flexure carcinoma: A case report
    Zi-Ling Zheng, Shou-Ru Zhang, Hao Sun, Mao-Cai Tang, Jing-Kun Shang
    World Journal of Clinical Cases.2022; 10(16): 5435.     CrossRef
  • MicroRNA-129-3p Inhibits Colorectal Cancer Proliferation
    Lei Kang, Dongmei Guo, Yanhai Dong, Xiaowei Chen, Chao Yuan
    Journal of Biomaterials and Tissue Engineering.2022; 12(12): 2413.     CrossRef
  • Technique for Improving the Adoption of Minimally Invasive Surgery in Challenging Cases
    Giorgio Bogani, Francesco Raspagliesi
    Journal of Investigative Surgery.2021; 34(3): 334.     CrossRef
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