The impact of staple transection of the dorsal venous complex and urethra on intraoperative blood loss in cooperative laparoscopic and transperineal endoscopic pelvic exenteration.
Laparoscopic surgery
Pelvic exenteration
Staple transection
Transperineal endoscopic surgery
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
01 May 2023
01 May 2023
Historique:
received:
04
12
2022
accepted:
06
04
2023
medline:
2
5
2023
pubmed:
2
5
2023
entrez:
1
5
2023
Statut:
aheadofprint
Résumé
While laparoscopic pelvic exenteration reduces intraoperative blood loss, dorsal venous complex bleeding during this procedure causes issues. We previously introduced a method to transect the dorsal venous complex and urethra using a linear stapler during cooperative laparoscopic and transperineal endoscopic (two-team) pelvic exenteration. The present study assessed its effectiveness in reducing intraoperative blood loss by comparing it with conventional laparoscopic pelvic exenteration. This retrospective cohort study was conducted at a Japanese tertiary referral center. Eleven cases of two-team laparoscopic pelvic exenteration with staple transection of the dorsal venous complex (T-PE group) were compared to 25 cases of conventional laparoscopic pelvic exenteration (C-PE group). The primary outcome measure was intraoperative blood loss. There were no significant between-group differences in patient background. The mean intraoperative blood loss was significantly lower in the T-PE group than in the C-PE group (200 vs. 850 mL, p = 0.01). The respective mean operation time, postoperative complication rate, and R0 resection rate were similar between the T-PE and C-PE groups (636 min vs. 688 min, p = 0.36; 36% vs. 44%, p = 0.65; 100% vs. 100%, p = 1.00). Two-team laparoscopic pelvic exenteration with staple transection of the dorsal venous complex reduced intraoperative blood loss from the dorsal venous complex in a technically safe and oncologically feasible manner.
Identifiants
pubmed: 37127776
doi: 10.1007/s00595-023-02693-x
pii: 10.1007/s00595-023-02693-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.
Références
Ali SM, Antoniou A, Beynon J, Bhangu A, Bose P, Boyle K, et al. Consensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planes. Br J Surg. 2013;100:E1–33. https://doi.org/10.1002/bjs.9192_1 .
doi: 10.1002/bjs.9192_1
Kazi M, Kumar NAN, Rohila J, Sukumar V, Engineer R, Ankathi S, et al. Minimally invasive versus open pelvic exenterations for rectal cancer: a comparative analysis of perioperative and 3-year oncological outcomes. BJS Open. 2021;5:zrab074. https://doi.org/10.1093/bjsopen/zrab074 .
doi: 10.1093/bjsopen/zrab074
pubmed: 34518872
pmcid: 8438253
Collaborative PelvEx. Minimally invasive surgery techniques in pelvic exenteration: a systematic and meta-analysis review. Surg Endosc. 2018;32:4707–15. https://doi.org/10.1007/s00464-018-6299-5 .
doi: 10.1007/s00464-018-6299-5
Mukai T, Nagasaki T, Akiyoshi T, Yamaguchi T, Hiyoshi Y, Nagayama S, et al. Staple-transection of the dorsal venous complex and urethra in cooperative laparoscopic and transperineal endoscopic total pelvic exenteration for pelvic malignancies. Asian J Endosc Surg. 2021;14:816–20. https://doi.org/10.1111/ases.12932 .
doi: 10.1111/ases.12932
pubmed: 33721914
Yang TX, Morris DL, Chua TC. Pelvic exenteration for rectal cancer: a systematic review. Dis Colon Rectum. 2013;56:519–31. https://doi.org/10.1097/DCR.0b013e31827a7868 .
doi: 10.1097/DCR.0b013e31827a7868
pubmed: 23478621
Brunschwig A. Complete excision of pelvic viscera for advanced carcinoma; a one-stage abdominoperineal operation with end colostomy and bilateral ureteral implantation into the colon above the colostomy. Cancer. 1948;1:177–83. https://doi.org/10.1002/1097-0142(194807)1:2%3c177::aid-cncr2820010203≥3.0.co;2-a .
doi: 10.1002/1097-0142(194807)1:2<177::aid-cncr2820010203≥3.0.co;2-a
pubmed: 18875031
Ketcham AS, Deckers PJ, Sugarbaker EV, Hoye RC, Thomas LB, Smith RR. Pelvic exenteration for carcinoma of the uterine cervix: a 15-year experience. Cancer. 1970;26:513–21. https://doi.org/10.1002/1097-0142(197009)26:3%3c513::aid-cncr2820260304≥3.0.co;2-6 .
doi: 10.1002/1097-0142(197009)26:3<513::aid-cncr2820260304≥3.0.co;2-6
pubmed: 5458259
Robertson G, Lopes A, Beynon G, Monaghan JM. Pelvic exenteration: a review of the Gateshead experience 1974–1992. Br J Obstet Gynaecol. 1994;101:529–31. https://doi.org/10.1111/j.1471-0528.1994.tb13156.x .
doi: 10.1111/j.1471-0528.1994.tb13156.x
pubmed: 8018644
Heriot AG, Byrne CM, Lee P, Dobbs B, Tilney H, Solomon MJ, et al. Extended radical resection: the choice for locally recurrent rectal cancer. Dis Colon Rectum. 2008;51:284–91. https://doi.org/10.1007/s10350-007-9152-9 .
doi: 10.1007/s10350-007-9152-9
pubmed: 18204879
Busch OR, Hop WC, Hoynck van Papendrecht MA, Marquet RL, Jeekel J. Blood transfusions and prognosis in colorectal cancer. N Engl J Med. 1993;328:1372–6. https://doi.org/10.1056/NEJM199305133281902 .
doi: 10.1056/NEJM199305133281902
pubmed: 8292113
Chiarugi M, Buccianti P, Disarli M, Galatioto C, Cavina E. Effect of blood transfusions on disease-free interval after rectal cancer surgery. Hepatogastroenterology. 2000;47:1002–5.
pubmed: 11020864
Tamagawa H, Numata M, Aoyama T, Kazama K, Atsumi Y, Iguchi K, et al. Impact of intraoperative blood loss on the survival of patients with stage II/III colorectal cancer: a multicenter retrospective study. In Vivo. 2021;35:3483–8. https://doi.org/10.21873/invivo.12649 .
doi: 10.21873/invivo.12649
pubmed: 34697185
pmcid: 8627735
Hanna DN, Gamboa AC, Balch GC, Regenbogen SE, Holder-Murray J, Abdel-Misih SRZ, et al. Perioperative blood transfusions are associated with worse overall survival but not disease-free survival after curative rectal cancer resection: a propensity score-matched analysis. Dis Colon Rectum. 2021;64:946–54. https://doi.org/10.1097/DCR.0000000000002006 .
doi: 10.1097/DCR.0000000000002006
pubmed: 34214054
pmcid: 8259769
Ishiguro S, Akasu T, Fujita S, Yamamoto S, Kusters M, Moriya Y. Pelvic exenteration for clinical T4 rectal cancer: oncologic outcome in 93 patients at a single institution over a 30-year period. Surgery. 2009;145:189–95. https://doi.org/10.1016/j.surg.2008.09.014 .
doi: 10.1016/j.surg.2008.09.014
pubmed: 19167974
Uehara K, Nakamura H, Yoshino Y, Arimoto A, Kato T, Yokoyama Y, et al. Initial experience of laparoscopic pelvic exenteration and comparison with conventional open surgery. Surg Endosc. 2016;30:132–8. https://doi.org/10.1007/s00464-015-4172-3 .
doi: 10.1007/s00464-015-4172-3
pubmed: 25795381
Martínez A, Filleron T, Vitse L, Querleu D, Mery E, Balague G, et al. Laparoscopic pelvic exenteration for gynaecological malignancy: is there any advantage? Gynecol Oncol. 2011;120:374–9. https://doi.org/10.1016/j.ygyno.2010.11.032 .
doi: 10.1016/j.ygyno.2010.11.032
pubmed: 21215437
Yamaguchi T, Konishi T, Kinugasa Y, Yamamoto S, Akiyoshi T, Okamura R, et al. Laparoscopic versus open lateral lymph node dissection for locally advanced low rectal cancer: a subgroup analysis of a large multicenter cohort study in Japan. Dis Colon Rectum. 2017;60:954–64. https://doi.org/10.1097/DCR.0000000000000843 .
doi: 10.1097/DCR.0000000000000843
pubmed: 28796734
Wu SD, Meeks JJ, Cashy J, Perry KT, Nadler RB. Suture versus staple ligation of the dorsal venous complex during robot-assisted laparoscopic radical prostatectomy. BJU Int. 2010;106:385–90. https://doi.org/10.1111/j.1464-410X.2009.09146.x .
doi: 10.1111/j.1464-410X.2009.09146.x
pubmed: 20067457
Feng T, Heulitt G, Lee JJ, Liao M, Li HF, Porter JR. Randomised comparison of techniques for control of the dorsal venous complex during robot-assisted laparoscopic radical prostatectomy. BJU Int. 2020;126:586–94. https://doi.org/10.1111/bju.15133 .
doi: 10.1111/bju.15133
pubmed: 32521115
Hayashi K, Kotake M, Kakiuchi D, Yamada S, Hada M, Kato Y, et al. Laparoscopic total pelvic exenteration using transanal minimal invasive surgery technique with en bloc bilateral lymph node dissection for advanced rectal cancer. Surg Case Rep. 2016;2:74. https://doi.org/10.1186/s40792-016-0198-6 .
doi: 10.1186/s40792-016-0198-6
pubmed: 27460130
pmcid: 4961659
Hasegawa S, Kajitani R, Matsumoto Y, Ohmiya T, Nagano H, Komono A, et al. Combined laparoscopic and transperineal endoscopic total pelvic exenteration for local recurrence of rectal cancer. Tech Coloproctol. 2020;24:599–601. https://doi.org/10.1007/s10151-020-02187-9 .
doi: 10.1007/s10151-020-02187-9
pubmed: 32236744
Nonaka T, Tominaga T, Akazawa Y, Sawai T, Nagayasu T. Feasibility of laparoscopic-assisted transanal pelvic exenteration in locally advanced rectal cancer with anterior invasion. Tech Coloproctol. 2021;25:69–74. https://doi.org/10.1007/s10151-020-02324-4 .
doi: 10.1007/s10151-020-02324-4
pubmed: 32815047
Tominaga T, Nonaka T, Fukuda A, Shiraisi T, Hashimoto S, Araki M, et al. Combined transabdominal and transperineal endoscopic pelvic exenteration for colorectal cancer: feasibility and safety of a two-team approach. Ann Surg Treat Res. 2021;101:102–10. https://doi.org/10.4174/astr.2021.101.2.102 .
doi: 10.4174/astr.2021.101.2.102
pubmed: 34386459
pmcid: 8331559