Ikuma Shioi, Hiroomi Ogawa, Nobuhiro Hosoi, Arisa Yamaguchi, Takayoshi Watanabe, Nobuhiro Nakazawa, Yuta Shibasaki, Takuya Shiraishi, Katsuya Osone, Takuhisa Okada, Akihiko Sano, Makoto Sakai, Makoto Sohda, Ken Shirabe, Hiroshi Saeki
BACKGROUND: Here, we describe the precise surgical technique for a novel procedure involving 2-team transanal total mesorectal excision with en bloc lateral pelvic lymph node (LPLN) dissection combined with resection of the involved main internal iliac vessels and pelvic plexus. METHODS: From September 2020 to May 2023, 4 patients underwent the procedure at our hospital. RESULTS: The operation time and blood loss were 272 to 412 minutes and 10 to 124 mL, respectively...
February 29, 2024: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques