8373GS Novel Transanal Operation for Rectal Cancer Combining Ultrasonic Dissection, Titanium Knot...

TITLE: Novel Transanal Operation for Rectal Cancer Combining Ultrasonic Dissection, Titanium Knot, and the Storz Rectoscope

Background: Transanal endoscopic microsurgery (TEM) allows a precise, full-thickness resection of rectal tumors. However, the standard TEM technique needs complex and expensive equipment, and is associated with bleeding that may be challenging. A modified TEM procedure combining the ultrasonic Harmonic dissection and Titanium Knot quick load via the Storz operation rectoscope has been developed to overcome the limitations of the traditional TEM procedure.
Case Report: A 71-year-old morbidly obese male was referred for surgical management of invasive rectal adenocarcinoma diagnosed on routine colonoscopy. Repeat sigmoidoscopy revealed evidence of 2.5-cm mass 7cm from the anal verge (T1 lesion on endoscopic ultrasound). Combining ultrasonic Harmonic dissection, Titanium Knot quick load system, and the Storz operation rectoscope were used for full-thickness resection. The patients postoperative course was uneventful, and he was discharged home the next morning. Pathologic examination of the specimen confirmed negative margins.
Conclusion: Ultrasonic dissection provides a fairly bloodless field. For tumors located up to 20cm from the anal verge, modified transanal operation with the Storz operation rectoscope, Ultrasonic dissection, and Titanium Knot quick load system is feasible, cheaper, and should be considered.

Abs# 8373GS
Authors: Emad Kandil, MD, Verenda Joshi, MD

Category:

Science & Technology

Tags:

• 'society
• of
• laparoendoscopic
• surgeons'
• SocietyLapSurgeons
• SLSGeneralSurgery
• SLSEducation
• SLSEE08
• SLSColoRectal
• SLSCancer
• laparoscopy
• laparoscopic
• SLS
• cancer
• 'rectal
• cancer'
• colorectal
• rectal