YAMAGUCHI SHIGEKI    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Professor and Division head
Article types	Original article
Language	English
Peer review	Non peer reviewed
Title	Surgical outcomes of hybrid hand-assisted laparoscopic pelvic exenteration for locally advanced rectal cancer: Initial experience.
Journal	Formal name：Asian journal of endoscopic surgery Abbreviation：Asian J Endosc Surg ISSN code：17585910/17585902
Domestic / Foregin	Foregin
Volume, Issue, Page	14(2),pp.213-222
Author and coauthor	Tashiro Jo, Fujii Manato, Masaki Yukiyoshi, Yamaguchi Shigeki
Authorship	Last author
Publication date	2021/04
Summary	INTRODUCTION:Hybrid hand-assisted laparoscopic surgery (HALS) combines better visualization of laparoscopic surgery with the advantages of open surgery. The aim of this study was to describe important technical considerations of HALS and to assess the feasibility of hybrid HALS pelvic exenteration (PE) for primary advanced rectal cancer.METHODS:From May 2012 to August 2018, we retrospectively analyzed 11 patients who underwent PE for primary advanced rectal cancer (< 10 cm from the anal verge). Patients were divided into the open PE group (n = 5) and the hybrid HALS PE group (n = 6).RESULTS:There was no significant difference in patient characteristics between the two groups, and all included patients were male. Tumor invasion to adjacent organs was mostly anterior invasion. In addition, four patients (66%) in the hybrid HALS PE group and two (40%) in the open PE group received neoadjuvant therapy (P = .3).CONCLUSION:Compared to open surgery, hybrid HALS has the advantages of less bleeding and less invasion, and can achieve the same results in the short-term. It was a reasonable procedure which was easy and safe dissection of internal iliac vessels and dorsal vein complex. Thus, hybrid HALS may become a useful approach for PE.
DOI	10.1111/ases.12855
PMID	32856403