The system continues to provide surprises Notes: Thursday, surgeons at Hospital Clinic of Barcelona and Hospital Boston Massachusetts reported that they have successfully performed the first global event of removal of a cancer of the rectum through the anus, also drawing on art TEM. They believe this new approach has great advantages.
Minimally invasive surgery NOTES (Natural Orifice Transluminal Endoscopy Surgery), an innovative surgical approach, allowing operation from body openings, keep going: a team of surgeons at Hospital Clinic of Barcelona and the Massachusetts General Hospital-Harvard University , Boston, USA, has just reported that he performed the first global extraction of rectal cancer through the anus.
The mouth and vagina have been the most popular routes used for the Notes so far, but this new technique highlights the chosen path: the transrectal (through the anus), much less explored. The intervention was performed on 9 November with the technical approach and Notes TEM (transanal surgery, Transanal Endoscopic Microsurgery) and was successful, largely thanks to a partnership of Gastrointestinal Surgery team of Clinic of Barcelona, who leads Antonio Maria de Lacy, and a team of surgeons from Boston, headed by Patricia Sylla.
As reported by the Catalan team, this is the first time ever that an intervention in the treatment of rectal cancer surgery is done through a cavity where the tumor is out ano.La own patient, a woman 76 years of age diagnosed with a malignant tumor in the rectum, was discharged on 14 November (just five days after surgery) and went home without any complications and with an excellent postoperative recovery.
At surgery, all surgical instruments were introduced through the anus to avoid abdominal incisions dolorosas. Esta new technique has been developed to achieve better results than laparoscopic surgery, minimally invasive technique that ensures many advantages: reduced pain, shorter hospital stay and best oncologic results.
Innovative surgery applied in this case is one more step forward and will operate successfully in a rectal cancer without scarring, unlike laparoscopy, whose scars are reduced to 4 or 5 minimal incisions.
The Barcelona Clinic team believe that using the transanal route has two major advantages: first, the possibility of using both sexes (in contrast to the transvaginal route, which is reduced to half of the population), and the other opening and closure of the colon or rectum under direct vision.
This has been achieved using techniques that have been developed for local treatment of lesions in the rectum (MET), consisting of endoscopy through the rectum, where one introduces a special proctoscope connected to an insufflation system CO2 dilates the walls of the rectum. This will create a workspace that allows introducing instruments to divide and dissect the rectum affected.