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- Title
A Case of Transanal Endoscopic Excision for Rectal Tumor Using Surgical Instruments With Multi-jointed Structures.
- Authors
YUKI TOYODA; RIE HAYASHI; NORIKATSU MIYOSHI; RIE MIZUMOTO; KENGO HARUNA; SHINYA KATO; SOICHIRO MINAMI; MITSUNOBU TAKEDA; YUKI SEKIDO; SHIKI FUJINO; TSUYOSHI HATA; ATSUSHI HAMABE; TAKAYUKI OGINO; HIDEKAZU TAKAHASHI; MAMORU UEMURA; HIROFUMI YAMAMOTO; YUICHIRO DOKI; HIDETOSHI EGUCHI
- Abstract
Background/Aim: Transanal endoscopic local excision requires fine operation in a very narrow space in the rectum. We report a case in which the use of surgical instruments with a multi-jointed structure allowed safe resection of a lesion with a stable field of view, resulting in preservation of postoperative function. Case Report: The patient was a 49-year-old man who had a rectal neuroendocrine tumor (NET) (G1) with erosive changes in the lower rectum. Preoperative imaging showed no evidence of surrounding lymph node or distant metastasis; thus, we performed a transanal endoscopic local excision of the tumor. After positioning the patient under general anesthesia and securing the field of view in the intra-rectal cavity, the flexion of the surgical instruments with a multi-jointed structure was used to secure the operating space to not interfere with the camera and the surgeon’s right hand. The operating field was developed, and the tumor was incised by stable traction. After the excision, the needle was advanced in the direction of the intestinal axis using the multi-jointed holder, and continuous suturing was performed. The patient has no recurrence without any defecation disorder. Conclusion: The use of multijointed surgical instruments in transanal endoscopic excision of rectal tumors can provide a stable operative field and preserve postoperative function. The advanced flexibility of these instruments allows precise manipulation in the narrow rectal space, resulting in successful tumor resection with minimal invasiveness and no postoperative complications. These findings suggest that multi-jointed instruments are valuable for enhancing the safety and efficacy of minimally invasive rectal surgery.
- Publication
In Vivo, 2024, Vol 38, Issue 5, p2565
- ISSN
0258-851X
- Publication type
Article
- DOI
10.21873/invivo.13732