Page 54 - Read Online
P. 54

Kawada et al. Mini-invasive Surg 2020;4:7  I  http://dx.doi.org/10.20517/2574-1225.2019.44                                        Page 5 of 6


               CONCLUSION
               A lighted urethral stent is useful to visualize the urethra during taTME surgery in clinical practice. The
               assistance of fluorescent information helped in reducing the risk of urethral injury on the anterior side.


               DECLARATIONS
               Authors’ contributions
               Conception and study design: Kawada K, Sakai Y
               Data acquisition and interpretation: Kawada K, Okada T
               Drafting of manuscript: Kawada K
               Critical revision for intellectual content: Okada T, Sakai Y

               Availability of data and materials
               Not applicable.


               Financial support and sponsorship
               This study was supported by the Japan Society of Laparoscopic Colorectal Surgery.

               Conflicts of interest
               All authors declared that there are no conflicts of interest.

               Ethical approval and consent to participate
               A cadaveric study was conducted following the Act on Body Donation for Medical & Dental Education law
               of Japan. In a clinical study, informed consent was preoperatively obtained from all patients. This study
               was conducted in accordance with the ethical principal that have their origins in the Declaration Helsinki,
               and the protocols were approved by the Institutional Review Board of Kyoto University.

               Consent for publication
               Not applicable.

               Copyright
               © The Author(s) 2020.


               REFERENCES
               1.   Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery--the clue to pelvic recurrence? Br J Surg 1982;69:613-6.
               2.   Bonjer HJ, Deijen CL, Abis GA, Cuesta MA, van der Pas MH, et al. A randomized trial of laparoscopic versus open surgery for rectal
                   cancer. N Engl J Med 2015;372:1324-32.
               3.   Jeong SY, Park JW, Nam BH, Kim S, Kang SB, et al. Open versus laparoscopic surgery for mid-rectal or low-rectal cancer after
                   neoadjuvant chemoradiotherapy (COREAN trial): survival outcomes of an open-label, non-inferiority, randomised controlled trial.
                   Lancet Oncol 2014;15:767-74.
               4.   Fleshman J, Branda M, Sargent DJ, Boller AM, George V, et al. Effect of laparoscopic-assisted resection vs open resection of stage ii or
                   iii rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial. JAMA 2015;314:1346-55.
               5.   Stevenson AR, Solomon MJ, Lumley JW, Hewett P, Clouston AD, et al. Effect of laparoscopic-assisted resection vs open resection on
                   pathological outcomes in rectal cancer: the ALaCaRT randomized clinical trial. JAMA 2015;314:1356-63.
               6.   Atallah S, Martin-Perez B, Drake J, Stotland P, Ashamalla S, et al. The use of a lighted stent as a method for identifying the urethra in
                   male patients undergoing transanal total mesorectal excision: a video demonstration. Tech Coloproctol 2015;19;6:375
               7.   Mabardy A, Lee L, Valpato AP, Atallah S. Transanal total mesorectal excision with intersphincteric resection and use of fluorescent
                   angiography and a lighted urethral stent for distal rectal cancer. Tech Coloproctol 2017;21:581-2.
               8.   Barnes TG, Penna M, Hompes R, Cunningham C. Fluorescence to highlight the urethra: a human cadaveric study. Tech Coloproctol
                   2017;21:439-44.
               9.   Okada T, Kawada K, Nakamura T, Okamura R, Hida K, et al. A cadaveric demonstration of visualization of the urethra using a lighted
                   stent during transanal intersphincteric resection. Int Cancer Conf J 2018;7:77-80.
               10.  Kawada K, Hida K, Yoshitomi M, Sakai Y. Use of a lighted stent to identify the urethra during transanal abdominoperineal resection.
   49   50   51   52   53   54   55   56   57   58   59